Shazib Sagheer, MD
Individual provider Active NPI Interventional Cardiology Physician · Poplar Bluff, MO
NPI 1730531997 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1730531997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 2024008478 (MO)
- Practice address
- 3098 Oak Grove Rd
Poplar Bluff, MO 63901-8938 - Phone
- (573) 778-2600
- NPI assigned
- Jul 11, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Interventional Cardiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Poplar Bluff Hma Physician Management, LLC
Practice addresses (Care Compare)
3098 Oak Grove Rd
Poplar Bluff, MO 63901-8938
Phone (855) 444-7276
Hospital & facility affiliations
- Poplar Bluff Regional Medical Center
- Saint Francis Medical Center
- SSM Health Saint Louis University Hospital
- Mercy Hospital Stoddard
- Barnes Jewish Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.41 of 100
- Quality
- 79.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 11 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240611002755 | MO | Practitioner - Interventional Cardiology | 6901225663 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024008478 | MO | MD | Interventional Cardiology Physician |
| RS2016-0445 | NM | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poplar Bluff Hma Physician Management, LLC | Interventional Cardiology | Current |
Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
610 N One Mile Rd
Dexter, MO 63841
Phone (573) 624-3600
3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
Interoperability endpoints
- shazib.sagheer.1@8825.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2016-0445 | NM | |
| Interventional Cardiology Physician | 207RI0011X | 2024008478 | MO | Yes |
Addresses
Primary practice location
3098 Oak Grove Rd
Poplar Bluff, MO 63901-8938
Mailing address
3098 Oak Grove Rd
Poplar Bluff, MO 63901-8938
Phone (573) 778-2600
Other practice location 1
Msc 10 5550 University Of New
Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-4661
Other providers in Poplar Bluff, MO
- Victoria Russell
- Jessica Elizabeth Russom
- Wyatt Russom
- Mercy Rathini Sabapathypillai
- Mahmoud Sagharichi
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
- Saint Francis Medical Center
All providers in Poplar Bluff, MO · Interventional Cardiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.