NPIMap

Individual provider Active NPI

Raffi K Krikorian, M.D.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1710954300
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R4P45 Issued in MO
Practice address
3760 S Lindbergh Blvd Ste 101
Saint Louis, MO 63127-1374
Phone
(314) 849-0923
Fax
(314) 849-5716
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R4P45 MO Primary

Addresses

Primary practice location

3760 S Lindbergh Blvd Ste 101
Saint Louis, MO 63127-1374

Mailing address

PO Box 1209
Maryland Heights, MO 63043-0209
Phone (314) 849-0923

Other identifiers 2

IdentifierTypeStateIssuer
060062058OtherMORAILROAD
203014824MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040326000315 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac SurgeryPractitioner - Nuclear MedicinePractitioner - Internal Medicine 9931091881 Reassigns benefits to 1 organization
I20071004000219 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Surgery 9931091881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Surgery, Internal Medicine
Education
Other, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17 Ginger Creek MDWS
Glen Carbon, IL 62034-3508
Phone (314) 849-0923

3677 W Outer Rd
Suite 100
Arnold, MO 63010-5235

3760 S Lindbergh Blvd
Suite 101
Saint Louis, MO 63127-1374

8793 Watson Rd
Suite B
Saint Louis, MO 63119-5111
Phone (314) 849-0923

PO Box
Suite 1209
Maryland Heights, MO 63043

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10
Varicose vein removal12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients
Optima Heartcare, Inc. Cardiovascular Disease Past Accepting new patients
Mercy Hospital South Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBJEAD/Endpoint/CBJEAD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1710954300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630430209",
            "telephone_number": "314-849-0923",
            "fax_number": "314-849-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 S LINDBERGH BLVD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271374",
            "telephone_number": "314-849-0923",
            "fax_number": "314-849-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIKORIAN",
        "first_name": "RAFFI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R4P45",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "060062058",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203014824",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.