Active NPI
Mohammad Asif Waziri, M.D.
- Emergency Medicine Physician
- Louisiana, MO
National Provider Identifier
1821075672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2001010816
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2001010816 | Other | MO | MISSOURI 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001010816 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Past | Accepting new patients | |
| Dr. Wit Internal Medicine Prof Geriatric Care | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1033194386
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
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.