Individual provider Active NPI

Nicholas Anthony Iafe, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
National Provider Identifier
1942733811
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
2023027648 Issued in MO
Practice address
1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304
Phone
(314) 367-1181
NPI assigned
Apr 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 2023027648 MO Primary

Addresses

Primary practice location

1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304

Mailing address

8820 Ladue Rd Ste 203
Saint Louis, MO 63124-2080
Phone (314) 367-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210517002011 CA Practitioner - Ophthalmology 3173933769 Reassigns benefits to 1 organization
I20230823004501 MO Practitioner - Ophthalmology 3173933769 Reassigns benefits to 1 organization
I20230831002804 IL Practitioner - Ophthalmology 3173933769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Consultants LLCGroup PAC ID 9537259957, 16 clinicians

Practice addresses (Care Compare)

1009 42ND St
Suite 3
Mt Vernon, IL 62864-6218
Phone (314) 367-1181

1600 S Brentwood Blvd
Suite 700
Brentwood, MO 63144-1304
Phone (314) 367-1181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
95.45
Promoting interoperability
72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Apr 29, 2021 Accepting new patients
County of Los Angeles CurrentSince Apr 29, 2021 Accepting new patients
River Rock Behavioral Health, LLC CurrentSince Sep 8, 2024 Accepting new patients
Retina Consultants, LLC Retina Specialist CurrentSince Sep 5, 2023 Accepting new patients
Hermann Area Hospital District PastSince Sep 1, 2023 Accepting new patients
The Retina Institute LLC Ophthalmology PastSince Sep 5, 2023 Accepting new patients

Locations

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

903 Medical Park Dr
Effingham, IL 62401
Phone (217) 347-2933

5 Country Club Executive Park
#P
Glen Carbon, IL 62034
Phone (800) 888-0011

5 Country Club Executive Park
Glen Carbon, IL 62034
Phone (314) 567-7771

1009 S 42nd St
Ste 3
Mount Vernon, IL 62864
Phone (618) 244-6161

1125 Hampshire St
Quincy, IL 62301
Phone (217) 222-3937

1600 S Brentwood Blvd
Ste 700
Brentwood, MO 63144

226 S Woods Mill Rd
Ste 50W
Chesterfield, MO 63017

140 Westmount Dr
Farmington, MO 63640
Phone (573) 756-2020

8820 Ladue Rd
Ste 203
Saint Louis, MO 63124
Phone 31436711812267

17 The Boulevard Saint Louis
Saint Louis, MO 63117

2201 S Brentwood Blvd
Saint Louis, MO 63144
Phone 31436711812267

1600 S Brentwood Blvd
Ste 800
Saint Louis, MO 63144

5770 Mexico Rd
Ste D
Saint Peters, MO 63376
Phone (314) 842-2020

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Interoperability endpoints

  • Direct secure messaging: niafe@rcstl.intellechartdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1942733811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 LADUE RD STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242080",
            "telephone_number": "314-367-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S BRENTWOOD BLVD STE 700",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441304",
            "telephone_number": "314-367-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAFE",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-07",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "2023027648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MO

Sources for this page

Verify at the official NPI Registry.