Shabbir H Safdar, M.D

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

R3981 Issued in MO

Practice address

4921 Parkview PL
Suite 14C
Saint Louis, MO 63110-1032

Phone

(314) 290-7555

Fax

(314) 290-7550

NPI assigned

Jan 15, 2006

Last updated

May 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBGCAA

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.

• Poplar Bluff Hma Physician Management, LLC

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1598710147

  Hematology & Oncology

  Medicare reassignment NPD
• University Hematology Oncology Inc

  • Specialist
  • Saint Louis, MO
  • NPI 1184900409
  NPD (past)
• University Hematology Oncology Inc

  • Oncology Clinic/Center
  • Centralia, IL
  • NPI 1023293776
  NPD (past)
• University Hematology Oncology Inc

  • Specialist
  • Mount Vernon, IL
  • NPI 1871907790
  NPD (past)

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

{
    "created_epoch": "1137283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1952380107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "SUITE 14C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-290-7555",
            "fax_number": "314-290-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "SUITE 14C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-290-7555",
            "fax_number": "314-290-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFDAR",
        "first_name": "SHABBIR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-15",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "R3981",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "336010862",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IL",
            "identifier": "304010",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036043159",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL WORKER'S COMP",
            "identifier": "105905",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMEN'S COMP",
            "identifier": "123513",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201262128",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Kay Saettele, MD
• Tonia Saettele, PHARMD
• Rawan Ahmad Safa, MD
• Catherine A Safari
• Safco LLC
• Safe Hand in Home Care Service
• Safe Hands in Home Care Service, LLC
• Safe Haven Hospice of Southern Illinois, LLC
• Safe in the Nest, LLC
• Safe Journey Transit LLC

• Hematology & Oncology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Hematology & Oncology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.