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DR. MOHAMED A MARZOUK MSD DDS
NPI 1356422315
Dentist in St Louis, MO

Active since October 18, 2006PECOS Enrolled
12408 LUSHER RD, ST LOUIS, MO 63138(314) 741-0666 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mohamed A Marzouk Msd Dds NPPES

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

DR. MOHAMED A MARZOUK MSD DDS (NPI 1356422315) is an individual dentist in St Louis, Missouri, licensed in Missouri (12013) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356422315
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MOHAMED A MARZOUKCredential: MSD DDS
Location Address12408 LUSHER RDSt Louis, MO 63138
Mailing Address12408 Lusher RdSt Louis, MO 63138 · (314) 741-0666
Phone(314) 741-0666
Sole ProprietorNo
Enumeration DateOctober 18, 2006
Last NPPES UpdateMay 12, 2016
✔ NPI 1356422315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 12013
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12408 LUSHER RD, St Louis, MO 63138
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohamed A Marzouk Msd Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63138 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
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.

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 Mohamed Marzouk's NPI number?

The NPI number for Mohamed Marzouk is 1356422315. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Mohamed Marzouk located?

Mohamed Marzouk practices at 12408 Lusher Rd, St Louis, MO 63138. The listed phone number is (314) 741-0666.

What is Mohamed Marzouk's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mohamed Marzouk enrolled in Medicare?

Yes. Mohamed Marzouk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohamed Marzouk was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.