Active NPI
Usman Qayyum, M.D.
- Interventional Cardiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 2003007575
- Practice address
- 11155 Dunn Rd
Suite 304E
Saint Louis, MO 63136-6150 - Phone
- (314) 741-0911
- Fax
- (314) 741-0501
- NPI assigned
- Jul 26, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2003007575 | MO | |
| Interventional Cardiology Physician | 207RI0011X | 2003007575 | MO | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 036100225 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 036100225 | IL |
Addresses
Primary practice location
11155 Dunn Rd
Suite 304E
Saint Louis, MO 63136-6150
Mailing address
11155 Dunn Rd Ste 304E
Saint Louis, MO 63136-6111
Phone (314) 741-0911
Other practice location 1
2120 Madison Ave Ste 101
Granite City, IL 62040-4746
Phone (618) 876-8214
Other practice location 2
6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 406-5888
Other practice location 3
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208326116 | Medicaid | MO | |
| 36100225 | Medicaid | IL |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | usmanqayyum@slhv.medalliesdirect.net | Direct | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Christian Hospital Northeast- Northwest | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | Christian Hospital Northeast- Northwest |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, ND, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11155 Dunn Rd
304E
Saint Louis, MO 63136-6111
Phone (314) 741-0911
11155 Dunn Rd
Suite 304E
Saint Louis, MO 63136-6150
209 Crossroads PL
Mount Vernon, IL 62864-6545
Phone (618) 244-1937
2120 Madison Ave
Suite 101
Granite City, IL 62040-4746
Phone (618) 876-8214
3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
3009 N Ballas Rd
Saint Louis, MO 63131-2322
Phone (314) 741-0911
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911
5001 Hardy St
Hattiesburg, MS 39402-1308
Phone (601) 268-8155
6000 Hospital Dr PO Box
Suite 1257
Hannibal, MO 63401-1257
PO Box
Suite 1257
Hannibal, MO 63401-1257
Phone (573) 248-5460
Hospital & facility affiliations
- Essentia Health
- Heartland Regional Medical Center
- Christian Hospital Northeast
- Gateway Regional Medical Center
- Merit Health Wesley
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.17 of 100
- Quality
- 65.03
- Improvement activities
- 20
- Cost
- 79.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovis Health LLC | Current | Accepting new patients | |
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| St. Louis Heart & Vascular, P.C. | Cardiovascular Disease | Current | Accepting new patients |
| Innovis Health LLC | Current | Accepting new patients | |
| Premier Surgical Center LLC | Past | Accepting new patients | |
| Cardiology Diagnostics, LTD. | Cardiovascular Disease | Past | Accepting new patients |
| SSM Health Care St. Louis | Cardiovascular Disease | Past | Accepting new patients |
| Medicine Specialists, Inc. | Past | Accepting new patients | |
| Physician Groups LC | Cardiovascular Disease | Past | Accepting new patients |
| Cardiology Diagnostics, LTD. | Cardiovascular Disease | Past | Accepting new patients |
Locations
2120 Madison Ave
Ste 101
Granite City, IL 62040
Phone (618) 798-3000
3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048
507 W Pine St
Farmington, MO 63640
Phone (573) 454-2466
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460
1551 Wall St
Ste 410
Saint Charles, MO 63303
Phone (314) 838-5702
2325 Dougherty Ferry Rd
Ste 203
Saint Louis, MO 63122
Phone (314) 480-6445
11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136
Phone 3147410911 ext. 4012
3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796
13303 Tesson Ferry Rd
Ste 125
Saint Louis, MO 63128
Phone (314) 270-8540
105 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 639-6262
3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000
Interoperability endpoints
- uqayyum123276@direct.carenet.org
- uqayyum@yourcarecommunity.org
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
- usman.qayyum.p5@direct.ahgcardiology.nextgenshare.com
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
dba Deaconess IL Specialty 3331 DeYoung
- Surgery Physician
- Marion, IL
- NPI 1972210235
-
- Family Medicine Physician
- Hattiesburg, MS
- NPI 1538200209
-
dba Essentia Health Casselton Clinic
- Family Medicine Physician
- Casselton, ND
- NPI 1114361177
-
dba Essentia Health-Osgood Clinic
- Multi-Specialty Clinic/Center
- Fargo, ND
- NPI 1144776576
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1194778761
-
- Cardiovascular Disease Physician
- Farmington, MO
- NPI 1417128372
-
- Internal Medicine Physician
- Farmington, MO
- NPI 1588668172
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
Cardiovascular Disease
-
- Ambulatory Surgical Clinic/Center
- Bridgeton, MO
- NPI 1447613344
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
dba Christian Hospital
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Hospital
-
- General Acute Care Hospital
- Granite City, IL
- NPI 1326765884
-
dba Gateway Urgent Care
- Urgent Care Clinic/Center
- Glen Carbon, IL
- NPI 1700586344
Hospital
-
dba Edwardsville Health Center
- Clinic/Center
- Edwardsville, IL
- NPI 1760182307
Hospital
-
dba Gateway Imaging: Waterloo
- Clinic/Center
- Waterloo, IL
- NPI 1770283301
Hospital
-
dba Gateway Urgent Care
- Urgent Care Clinic/Center
- Columbia, IL
- NPI 1982304523
Hospital
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
dba Merit Health Wesley
- General Acute Care Hospital
- Hattiesburg, MS
- NPI 1841241841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776556800000",
"number": "1992728000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11155 DUNN RD STE 304E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366111",
"telephone_number": "314-741-0911",
"fax_number": "314-741-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11155 DUNN RD",
"address_2": "SUITE 304E",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366150",
"telephone_number": "314-741-0911",
"fax_number": "314-741-0501"
}
],
"practiceLocations": [
{
"address_1": "2120 Madison Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Granite City",
"state": "IL",
"postal_code": "620404746",
"country_code": "US",
"telephone_number": "618-876-8214",
"fax_number": "618-451-9111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016887",
"country_code": "US",
"telephone_number": "573-406-5888",
"fax_number": "573-248-5264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3550 McKelvey Rd",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442527",
"country_code": "US",
"telephone_number": "314-741-0911",
"fax_number": "314-741-0501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QAYYUM",
"first_name": "USMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2026-04-19",
"certification_date": "2026-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2003007575",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MO",
"license": "2003007575",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036100225",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036100225",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208326116",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36100225",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "usmanqayyum@slhv.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11155 Dunn Rd",
"address_2": "Suite 304E",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366150",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Christian Hospital Northeast- Northwest",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "API",
"address_1": "11133 Dunn Rd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366119",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Christian Hospital Northeast- Northwest",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11155 Dunn Rd",
"address_2": "Suite 304E",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366150",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.