Rabya R Mian, MD

Individual provider Active NPI Allergy & Immunology Physician · O Fallon, MO

NPI 1861608309 · NPPES record last updated Feb 28, 2017

Key facts

NPI
1861608309
Entity type
Individual (NPI type 1)
Primary specialty
Allergy & Immunology Physician 207K00000X
License
2005012337 (MO)
Practice address
9426 Phoenix Village Pkwy
O Fallon, MO 63368-4781
Phone
(636) 561-5707
Fax
(314) 851-4489
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Allergy/Immunology
Also: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Multispecialty Group Inc (118 clinicians)

Practice addresses (Care Compare)

9426 Phoenix Village Pkwy
O Fallon, MO 63368-4781
Phone (636) 561-5707

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100 (group)
Quality
79.66
Promoting interoperability
98
Improvement activities
40
Cost
76.57

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: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090727000305 MO Practitioner - Allergy/Immunology
Practitioner - Internal Medicine
0345393138 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Past
since Aug 4, 2009
Accepting new patients
Ozarks Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rabya.mian.p1@direct.essehealth.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 2005012337 MO Yes

Addresses

Primary practice location

9426 Phoenix Village Pkwy
O Fallon, MO 63368-4781

Mailing address

PO Box 23340
Saint Louis, MO 63156-3340
Phone (636) 561-5707

Other providers in O Fallon, MO

All providers in O Fallon, MO · Allergy & Immunology Physician in Missouri

Sources for this page

Verify at the official NPI Registry.