Individual provider Active NPI

Aziz S Doumit, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • New Melle, MO
National Provider Identifier
1801826847
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
MD101729 Issued in MO
Practice address
30 W Highway D
Suite 201a
New Melle, MO 63365-9998
Phone
(636) 398-8188
Fax
(636) 828-4442
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD101729 MO Primary

Addresses

Primary practice location

30 W Highway D
Suite 201a
New Melle, MO 63365-9998

Mailing address

4006 Highway D
Defiance, MO 63341-1726
Phone (314) 852-7507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070324000013 MO Practitioner - Emergency Medicine 9436253853 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD101729MOMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Potosi Emergency Group, LLC CurrentSince Sep 1, 2015 Accepting new patients
Southeast Health Center of Stoddard County LLC CurrentSince Nov 24, 2020 Accepting new patients
St Louis Pathology Assoc Inc. Current Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 1, 2019 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 1, 2019 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Nov 24, 2020 Accepting new patients
Hannibal Regional Healthcare System Inc Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1801826847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 HIGHWAY D",
            "city": "DEFIANCE",
            "state": "MO",
            "postal_code": "633411726",
            "telephone_number": "314-852-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W HIGHWAY D",
            "address_2": "SUITE 201A",
            "city": "NEW MELLE",
            "state": "MO",
            "postal_code": "633659998",
            "telephone_number": "636-398-8188",
            "fax_number": "636-828-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMIT",
        "first_name": "AZIZ",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MO",
            "license": "MD101729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Melle, MO

Sources for this page

Verify at the official NPI Registry.