Individual provider Active NPI

Faisal Ahmad Bukeirat, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1730100132
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2021049915 Issued in MO
Practice address
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone
(314) 617-2000
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 17445 WV
Gastroenterology Physician 207RG0100X 2021049915 MO Primary
Gastroenterology Physician 207RG0100X ME117348 FL
Hepatology Physician 207RI0008X 17445 WV

Addresses

Primary practice location

1201 S Grand Blvd
Saint Louis, MO 63104-1016

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other practice location 1

One Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-1434

Other identifiers 1

IdentifierTypeStateIssuer
0125879000MedicaidWV

Other names 1

  • Dr. Faisal A Bukeirat Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, MS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180726000503 FL Practitioner - Gastroenterology 0547230039 Reassigns benefits to 1 organization
I20220128000209 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 0547230039 Reassigns benefits to 2 organizations
I20230629001485 MS Practitioner - GastroenterologyPractitioner - Internal Medicine 0547230039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME117348FLMDGastroenterology Physician
2021049915MOMDGastroenterology Physician
17445WVMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 3, 2023 Accepting new patients
SSM Health Care Group CurrentSince Jan 1, 2026 Accepting new patients
SSM Medical Group, Inc. Gastroenterology CurrentSince Feb 3, 2026 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 14, 2018 Accepting new patients
SSM Health Care Group Gastroenterology CurrentSince Jan 1, 2026 Accepting new patients
SSM Medical Group Inc. CurrentSince Feb 3, 2026 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 3, 2023 Accepting new patients
University of Florida Jacksonville Physicians Inc Gastroenterology CurrentSince Jun 14, 2018 Accepting new patients
Bluefield Gastroenterology PLLC PastSince Jul 1, 2002 Accepting new patients
Florida Trauma Services, LLC PastSince Jun 1, 2022 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

580 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3960

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

6400 Clayton Rd
Ste 216
Saint Louis, MO 63117
Phone (314) 646-7848

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

Organizations & group practices 11

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1730100132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041016",
            "telephone_number": "314-617-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "One Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652120001",
            "country_code": "US",
            "telephone_number": "573-882-1434",
            "fax_number": "573-884-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUKEIRAT",
        "first_name": "FAISAL",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "17445",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2021049915",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME117348",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "WV",
            "license": "17445",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125879000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAISAL",
            "last_name": "BUKEIRAT",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "MD, FACG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.