IMPACT PHYSICIAN GROUP, MISSOURI PULMONARY SERVICES LLC
NPI 1437858677
Internal Medicine - Pulmonary Disease in Bridgeton, MO

Active since February 27, 2023
12380 DE PAUL DR, BRIDGETON, MO 63044(314) 447-9700 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Impact Physician Group, Missouri Pulmonary Services Llc NPPES

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

IMPACT PHYSICIAN GROUP, MISSOURI PULMONARY SERVICES LLC (NPI 1437858677) is a healthcare organization registered as a pulmonary disease in Bridgeton, Missouri and active in the NPI registry since February 2023. The organization lists Kamran R Quraishi, Owner, as its authorized official.

NPPES Registry Identity

NPI1437858677
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameIMPACT PHYSICIAN GROUP, MISSOURI PULMONARY SERVICES LLC
Location Address12380 DE PAUL DRBridgeton, MO 63044-2511
Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (678) 967-5599
Organization SubpartNo
Authorized OfficialKamran R QuraishiOwner · (502) 345-1561
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1437858677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
12380 DE PAUL DR, Bridgeton, MO 63044

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Impact Physician Group, Missouri Pulmonary Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Impact Physician Group, Missouri Pulmonary Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1346206612
3009 N BALLAS RD STE 315A
Saint Louis, MO 63131
(314) 996-4700
✔ PECOS✔ Accepts Medicare8.1 mi
Nurse Practitioner
NPI 1699723478
12700 SOUTHFORK RD
Saint Louis, MO 63128
(314) 895-6565
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1154106268
2790 CLAY EDWARDS DR STE 520/570
North Kansas City, MO 64116
(816) 221-6720
✔ PECOS✔ Accepts Medicare223 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 Impact Physician Group, Missouri Pulmonary Services LLC's NPI number?

The NPI number for Impact Physician Group, Missouri Pulmonary Services LLC is 1437858677. It was assigned to this organization in the NPPES registry on February 27, 2023.

Where is Impact Physician Group, Missouri Pulmonary Services LLC located?

Impact Physician Group, Missouri Pulmonary Services LLC is located at 12380 De Paul Dr, Bridgeton, MO 63044. The listed phone number is (314) 447-9700.

What is Impact Physician Group, Missouri Pulmonary Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Impact Physician Group, Missouri Pulmonary Services LLC enrolled in Medicare?

Yes. Impact Physician Group, Missouri Pulmonary Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Physician Group, Missouri Pulmonary Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Impact Physician Group, Missouri Pulmonary Services LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Impact Physician Group, Missouri Pulmonary Services LLC accept?

Health plans from Medica list Impact Physician Group, Missouri Pulmonary Services LLC 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.

When was this NPI record last updated?

The NPPES record for Impact Physician Group, Missouri Pulmonary Services LLC was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.