Individual provider Active NPI

Atif Fazal Rahman Shahnawaz, M.D.

  • Hospitalist Physician
  • Saint Louis, MO
National Provider Identifier
1902056971
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
P6266 Issued in TX
Practice address
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone
(314) 996-5772
NPI assigned
Sep 25, 2008
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P6266 TX
Internal Medicine Physician 207R00000X 125054687 IL
Hospitalist Physician 208M00000X P6266 TX Primary
Internal Medicine Physician 207R00000X 2011025958 MO
Hospitalist Physician 208M00000X DR.0054493 CO

Addresses

Primary practice location

3015 N Ballas Rd
Saint Louis, MO 63131-2329

Mailing address

PO Box 959354
Saint Louis, MO 63195-0001
Phone (314) 996-5772

Other practice location 1

530 NE Glen Oak Ave
Peoria, IL 61603-3133
Phone (309) 676-7536

Other practice location 2

1400 US Highway 61
Crystal Cty, MO 63028-4108
Phone (636) 933-5337

Other practice location 3

5245 W Highway 290
Austin, TX 78735-8963
Phone (512) 654-2100

Other practice location 4

7700 S Broadway
Littleton, CO 80122-2602
Phone (303) 730-5832

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address ashahnawaz551265@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110921000341 MO Practitioner - HospitalistPractitioner - Internal Medicine 3072784149 Reassigns benefits to 3 organizations
I20140620000962 TX Practitioner - Internal MedicinePractitioner - HospitalistPractitioner - Emergency Medicine 3072784149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians

Practice addresses (Care Compare)

1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195

2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125054687ILMDInternal Medicine Physician
2011025958MOMDInternal Medicine Physician
DR.0054493COMDHospitalist Physician
P6266TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Oct 1, 2023 Accepting new patients
Physician Groups LC Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Physician Groups LC CurrentSince Apr 1, 2025 Accepting new patients
Austin Critical Care Specialists PA Current Accepting new patients
Austin Critical Care Specialists PA CurrentSince Jun 1, 2016 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Hospitalist CurrentSince Jul 15, 2022 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 15, 2017 Accepting new patients
Ste Genevieve County Memorial Hospital Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Missouri Baptist Medical Center Past Accepting new patients

Locations

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

3015 N Ballas Rd
Ste 300
Saint Louis, MO 63131
Phone 3149965772 ext. 71493

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: ashahnawaz2196839@nychhc.direct-ci.com
  • Direct secure messaging: ashahnawaz25107@surescripts.sfmc.net
  • Direct secure messaging: ashahnawaz551265@direct.sw.org
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1902056971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959354",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631950001",
            "telephone_number": "314-996-5772",
            "fax_number": "314-996-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312329",
            "telephone_number": "314-996-5772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 NE Glen Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033133",
            "country_code": "US",
            "telephone_number": "309-676-7536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 US Highway 61",
            "address_purpose": "LOCATION",
            "city": "Crystal Cty",
            "state": "MO",
            "postal_code": "630284108",
            "country_code": "US",
            "telephone_number": "636-933-5337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5245 W Highway 290",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787358963",
            "country_code": "US",
            "telephone_number": "512-654-2100",
            "fax_number": "512-654-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801222602",
            "country_code": "US",
            "telephone_number": "303-730-5832",
            "fax_number": "303-734-2038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAHNAWAZ",
        "first_name": "ATIF",
        "middle_name": "FAZAL RAHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P6266",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125054687",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P6266",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011025958",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "DR.0054493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3015 N Ballas Rd Ste 300",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashahnawaz551265@direct.sw.org",
            "affiliation": "N",
            "address_1": "5245 W Highway 290",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787358963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.