IMPACT PHYSICIAN GROUP, MISSOURI CARDIOLOGY SERVICES LLC
NPI 1497454649
Internal Medicine - Cardiovascular Disease in Bridgeton, MO
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
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
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 Cardiology Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Impact Physician Group, Missouri Cardiology Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
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 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.
Is Impact Physician Group, Missouri Cardiology Services LLC enrolled in Medicare?
Yes. Impact Physician Group, Missouri Cardiology Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Physician Group, Missouri Cardiology Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Impact Physician Group, Missouri Cardiology 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Impact Physician Group, Missouri Cardiology Services Llc · NPI 1497454649
Cardiovascular Disease organization in Bridgeton, Missouri. Organization record, active in the CMS NPPES registry since February 27, 2023.
## Identity
- **NPI:** 1497454649 (Entity type: Organization)
- **Enumerated:** February 27, 2023
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **Organization subpart:** No
- **Authorized official:** Kamran Quraishi, OWNER
## Practice location
- **Address:** 12380 DE PAUL DR, Bridgeton, MO 63044-2511
- **Phone:** (314) 447-9700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1497454649) · Data from the CMS NPPES public registry.