Individual provider Active NPI

Usman Qayyum, M.D.

  • Interventional Cardiology Physician
  • Saint Louis, MO
National Provider Identifier
1992728000
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2003007575 Issued in MO
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

Updated by the provider on Apr 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
208326116MedicaidMO
36100225MedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
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, MS4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050719000001 MO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0345277703 Reassigns benefits to 2 organizations
I20050727001179 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0345277703 Reassigns benefits to 2 organizations
I20260205003465 ND Practitioner - Interventional Cardiology 0345277703 Reassigns benefits to 1 organization
I20260327000426 MS Practitioner - Interventional Cardiology 0345277703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Heart and Vascular PCGroup PAC ID 7719880129, 22 clinicians
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians
Wesley Physician Services LLCGroup PAC ID 2466559851, 42 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
73.17 of 100Reported as group
Quality
65.03
Improvement activities
20
Cost
79.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC CurrentSince Feb 6, 2026 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Jan 6, 2025 Accepting new patients
St. Louis Heart & Vascular, P.C. Cardiovascular Disease CurrentSince Aug 1, 2005 Accepting new patients
Innovis Health LLC CurrentSince Feb 6, 2026 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. PastSince Jan 1, 1994 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

  • Direct secure messaging: uqayyum123276@direct.carenet.org
  • Direct secure messaging: uqayyum@yourcarecommunity.org
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 10

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": "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

Verify at the official NPI Registry.