Individual provider Active NPI

Mohammad Asif Waziri, M.D.

  • Emergency Medicine Physician
  • Louisiana, MO
National Provider Identifier
1821075672
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2001010816 Issued in MO
Practice address
2305 Gerorgia St
Louisiana, MO 63353
Phone
(573) 754-5531
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2001010816 MO Primary
Internal Medicine Physician 207R00000X 2001010816 MO

Addresses

Primary practice location

2305 Gerorgia St
Louisiana, MO 63353

Mailing address

147 Gemini Dr
Hannibal, MO 63401-2389
Phone (573) 248-8639

Other identifiers 1

IdentifierTypeStateIssuer
2001010816OtherMOMISSOURI STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2001010816MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc Past Accepting new patients
Dr. Wit Internal Medicine Prof Geriatric Care Past Accepting new patients

Interoperability endpoints

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

Organizations & group practices 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821075672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 GEMINI DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012389",
            "telephone_number": "573-248-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GERORGIA ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "63353",
            "telephone_number": "573-754-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAZIRI",
        "first_name": "MOHAMMAD",
        "middle_name": "ASIF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2001010816",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001010816",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE LICENSE",
            "identifier": "2001010816",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisiana, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.