ROUBA GHOUSSOUB MD LLC
NPI 1417349234
Internal Medicine - Nephrology in Festus, MO

Q: What is Rouba Ghoussoub MD LLC's NPI number?

The NPI number for Rouba Ghoussoub MD LLC is 1417349234. It was assigned to this organization in the NPPES registry on March 3, 2015.

Q: What is Rouba Ghoussoub MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since March 03, 2015

1400 US HIGHWAY 61, G30, FESTUS, MO 63028(636) 931-7770(636) 931-7671 Get Directions Write a Review

NPPES record last updated: April 23, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rouba Ghoussoub Md Llc NPPES

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

ROUBA GHOUSSOUB MD LLC (NPI 1417349234) is a healthcare organization registered as a nephrology in Festus, Missouri and active in the NPI registry since March 2015. The organization lists Rouba Ghoussoub, Owner, as its authorized official.

NPPES Registry Identity

NPI1417349234

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameROUBA GHOUSSOUB MD LLC

Location Address1400 US HIGHWAY 61, G30Festus, MO 63028-4100

Mailing AddressPo Box 1449Maryland Heights, MO 63043-0449 · (314) 432-2580 · Fax (314) 432-0223

Phone(636) 931-7770

Fax(636) 931-7671

Organization SubpartNo

Authorized OfficialRouba GhoussoubOwner · (636) 931-7770

Enumeration DateMarch 3, 2015

Last NPPES UpdateApril 23, 2015

✔ NPI 1417349234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1400 US HIGHWAY 61, Festus, MO 63028

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Other Identifiers 3

Medicare PINMA5468MO

Medicare PINMA5469MO

Medicaid1417349234MO

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

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.

MERCY HEALTH SERVICES, LLC

Pharmacy (Community/Retail Pharmacy)

1400 US HIGHWAY 61, STE G38
FESTUS, MO 63028

Jefferson County (636) 933-1600

KARTHIK IYER MD

Internal Medicine (Critical Care Medicine)