DR. NIZAR A ASSI MD
NPI 1194772954
Internal Medicine - Cardiovascular Disease in Saint Louis, MO

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
10012 KENNERLY RD, SUITE 301, SAINT LOUIS, MO 63128(314) 729-0088(314) 729-3963 Get Directions Write a Review

NPPES record last updated: July 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nizar A Assi Md NPPES

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

DR. NIZAR A ASSI MD (NPI 1194772954) is an individual cardiovascular disease provider in Saint Louis, Missouri, licensed in Missouri (R5N90) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Eastern Oklahoma Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1194772954
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. NIZAR A ASSICredential: MD
Location Address10012 KENNERLY RD, SUITE 301Saint Louis, MO 63128-2197
Mailing Address10012 Kennerly Rd, Suite 301Saint Louis, MO 63128-2197 · (313) 729-0088 · Fax (314) 729-3963
Fax(314) 729-3963
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 24, 2016
NPI 1194772954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in MO · R5N90 Licensed in IL · 036076345
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

10012 KENNERLY RD, Saint Louis, MO 63128

Other Identifiers 21

Other137842MO · Healthlink
Other47082MO · Group Health Plan
Medicare PIN060032092
Medicare PINP00800501IL
Other14443MO · Essence Healthcare
Other2411584MO · Cigna Hmo Ppo Open Access
Medicare UPIND88680MO
Other738934MO · First Health Network
Other1017484MO · Care Partners
OtherD88680MO · Mercy Health Plan
Other2411584004MO · Cigna Pal Referral
Medicare ID-Type Unspecified002012159MO
Medicaid036076345IL
Medicaid203035324MO
Other04232002IL · Bcbs
Other951660MO · Aetna
Other20848MO · Bcbs
Other21238MO · Exclusive Choice
Other2500139MO · United Health Care
Medicare ID-Type UnspecifiedL37051IL
Other19567MO · Healthcare Usa

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nizar A Assi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911991971
PECOS Enrollment IDI20220408001372, I20230103000182
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
132 services124 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
82 services82 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
46 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
25 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Eastern Oklahoma Medical Center

Critical Access Hospitals · Poteau, OK
OwnershipGovernment - Local
CMS Certification Number371337
Location105 Wall StreetPoteau, OK 74953 · Le Flore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
81%77 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
58%860 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
78%2,948 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
48%61 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
41%1,062 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
3%640 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 88% · 526 patients
Patients tobacco: 71% · 24 patients
87%526 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
19%1,062 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,062 patients1/55-star benchmark: 79%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
76%623 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 406 patients
3%406 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
10012 KENNERLY RD, SUITE 102
SAINT LOUIS, MO 63128
Internal Medicine (Gastroenterology)
10012 KENNERLY RD, SUITE 404
SAINT LOUIS, MO 63128
Nurse Practitioner (Family)
10012 KENNERLY RD, SUITE 300
SAINT LOUIS, MO 63128
Obstetrics & Gynecology
10012 KENNERLY RD, STE 405
SAINT LOUIS, MO 63128
Nurse Practitioner (Adult Health)
10012 KENNERLY RD, SUITE 204
SAINT LOUIS, MO 63128
Surgery
10012 KENNERLY RD, SUITE 406
SAINT LOUIS, MO 63128
Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD, STE 300
SAINT LOUIS, MO 63128
Internal Medicine (Cardiovascular Disease)
10012 KENNERLY RD, STE 300
SAINT LOUIS, MO 63128

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 Nizar Assi's NPI number?

The NPI number for Nizar Assi is 1194772954. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Nizar Assi located?

Nizar Assi practices at 10012 Kennerly Rd Suite 301, Saint Louis, MO 63128. The listed phone number is (314) 729-0088.

What is Nizar Assi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nizar Assi enrolled in Medicare?

Yes. Nizar Assi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nizar Assi accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 7 other insurers list Nizar Assi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nizar Assi affiliated with any hospitals?

According to CMS data, Nizar Assi is affiliated with Eastern Oklahoma Medical Center.

When was this NPI record last updated?

The NPPES record for Nizar Assi was last updated on July 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.