1. Home
  2. Directory
  3. Missouri
  4. Bridgeton
  5. Internal Medicine
  6. NPI Profile

IMPACT PHYSICIAN GROUP, MISSOURI CARDIOLOGY SERVICES LLC
NPI 1497454649
Internal Medicine - Cardiovascular 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: August 02, 2026.

About Impact Physician Group, Missouri Cardiology Services Llc NPPES

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

IMPACT PHYSICIAN GROUP, MISSOURI CARDIOLOGY SERVICES LLC (NPI 1497454649) is a healthcare organization registered as a cardiovascular disease in Bridgeton, Missouri and active in the NPI registry since February 2023. The organization maintains a secondary practice location in Lake St Louis and lists Kamran R Quraishi, Owner, as its authorized official.

NPPES Registry Identity

NPI1497454649
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameIMPACT PHYSICIAN GROUP, MISSOURI CARDIOLOGY SERVICES LLC
Location Address12380 DE PAUL DRBridgeton, MO 63044-2511
Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (678) 967-5599
Phone(314) 447-9700
Organization SubpartNo
Authorized OfficialKamran R QuraishiOwner · (502) 345-1561
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1497454649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
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.
12380 DE PAUL DR, Bridgeton, MO 63044
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Medical Plz Fl 5Lake St Louis, MO 63367-1366 · Phone (636) 625-5200

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

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.

HALEY SMITH
Pharmacy Technician
12380 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 447-9700
SARAH FUNK
Occupational Therapist
12380 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 447-9710
JORDAN OWENS
Speech-Language Pathologist
12380 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 447-9710
REIS WITTE
Occupational Therapist
12380 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 605-5979
KATHERINE BISHOP BENNINGTON PT, DPT
Physical Therapist
12380 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 447-9710
SCOUT HIZER PT
Physical Therapist (Neurology)
12380 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 447-9700
KRISTIN ANN FIGUEIRA M.S., SLP
Speech-Language Pathologist
12380 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 447-9710
KELSEY ELAINE MARTIN
Physical Therapist
12380 DE PAUL DR
BRIDGETON, MO 63044
St. Louis County (314) 447-9710

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 Cardiology Services LLC's NPI number?

The NPI number for Impact Physician Group, Missouri Cardiology Services LLC is 1497454649. It was assigned to this organization in the NPPES registry on February 27, 2023.

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

Impact Physician Group, Missouri Cardiology 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 Cardiology Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Impact Physician Group, Missouri Cardiology 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.