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PREMIER HEALTHCARE STL LLC
NPI 1053962357
Internal Medicine in Ballwin, MO

Active since September 27, 2019
703 HESEMANN RIDGE CT, BALLWIN, MO 63021(636) 751-0362 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Premier Healthcare Stl Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER HEALTHCARE STL LLC (NPI 1053962357) is a healthcare organization registered as an internal medicine in Ballwin, Missouri and active in the NPI registry since September 2019. The organization lists Mohammad Amin Zaman, President, as its authorized official.

NPPES Registry Identity

NPI1053962357
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePREMIER HEALTHCARE STL LLC
Location Address703 HESEMANN RIDGE CTBallwin, MO 63021-3602
Mailing Address703 Hesemann Ridge CtWildwood, MO 63021-3602 · (636) 751-0362
Phone(636) 751-0362
Organization SubpartNo
Authorized OfficialMohammad Amin ZamanPresident · (636) 751-0362
Enumeration DateSeptember 27, 2019
✔ NPI 1053962357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
703 HESEMANN RIDGE CT, Ballwin, MO 63021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Healthcare Stl Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Healthcare Stl LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mohammad Zaman, MD
Internal Medicine
NPI 1346350196
1000 BURR RIDGE PKWY STE 201
Burr Ridge, IL 60527
(312) 818-4650
✔ PECOS261 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Healthcare Stl LLC's NPI number?

The NPI number for Premier Healthcare Stl LLC is 1053962357. It was assigned to this organization in the NPPES registry on September 27, 2019.

Where is Premier Healthcare Stl LLC located?

Premier Healthcare Stl LLC is located at 703 Hesemann Ridge Ct, Ballwin, MO 63021. The listed phone number is (636) 751-0362.

What is Premier Healthcare Stl LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Premier Healthcare Stl LLC enrolled in Medicare?

Yes. Premier Healthcare Stl LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Healthcare Stl LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Premier Healthcare Stl LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Premier Healthcare Stl LLC was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.