NILOOFAR PIRI M.D.
NPI 1225428980
Ophthalmology - Retina Specialist in Saint Louis, MO
About Niloofar Piri M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NILOOFAR PIRI M.D. (NPI 1225428980) is an individual retina specialist in Saint Louis, Missouri, licensed in Missouri (2020017646) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm Health Saint Louis University Hospital, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Niloofar Piri M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Niloofar Piri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Louis, MO 63104
- Reassigned Medicare billing, Missouri enrollment
- 1,294 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health Saint Louis University Hospital
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
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 Niloofar Piri's NPI number?
The NPI number for Niloofar Piri is 1225428980. It was assigned to this individual provider in the NPPES registry on February 2, 2015.
Where is Niloofar Piri located?
Niloofar Piri practices at 1225 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-4010.
What is Niloofar Piri's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Niloofar Piri enrolled in Medicare?
Yes. Niloofar Piri 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.
Which organization bills Medicare for Niloofar Piri's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niloofar Piri reassigns Medicare benefits to Ssm Health Care Group (Saint Louis, MO). The 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 Niloofar Piri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niloofar Piri accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Niloofar Piri 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 Niloofar Piri affiliated with any hospitals?
According to CMS data, Niloofar Piri is affiliated with Ssm Health Saint Louis University Hospital.
When was this NPI record last updated?
The NPPES record for Niloofar Piri was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Niloofar Piri, M.D. · NPI 1225428980
Retina Specialist physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since February 2, 2015.
## Identity
- **NPI:** 1225428980 (Entity type: Individual)
- **Enumerated:** February 2, 2015
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **State license:** 2020017646 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1225 S GRAND BLVD, Saint Louis, MO 63104-1016
- **Phone:** (314) 977-4010 · **Fax:** (314) 977-3495
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ssm Health Care Group (NPI 1306589544, Saint Louis, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** January 25, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1225428980) · Data from the CMS NPPES public registry.