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MR. ABDUL RAUF M.D.
NPI 1619533890
Internal Medicine in St. Louis, MO

Active since May 14, 2019PECOS EnrolledAccepts Medicare Assignment
6420 CLAYTON ROAD. SSM HEALTH ST. MARY'S HOSPITAL, ST. LOUIS, MO 63117(314) 768-8778(314) 768-7101 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2025, Dec 15, 2022, Jan 11, 2020 and 1 more (4 updates tracked since 2019).

About Mr. Abdul Rauf M.d. NPPES

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

MR. ABDUL RAUF M.D. (NPI 1619533890) is an individual internal medicine provider in St. Louis, Missouri, licensed in Missouri (2022011924) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1619533890
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. ABDUL RAUFCredential: M.D.
Location Address6420 CLAYTON ROAD. SSM HEALTH ST. MARY'S HOSPITALSt. Louis, MO 63117
Mailing Address6420 Clayton Road. Ssm Health St. Mary's HospitalSt. Louis, MO 63117 · (314) 768-8778 · Fax (314) 768-7101
Phone(314) 768-8778
Fax(314) 768-7101
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 14, 2019
Last NPPES UpdateDecember 15, 20224 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1619533890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2022011924
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6420 CLAYTON ROAD. SSM HEALTH ST. MARY'S HOSPITAL, St. Louis, MO 63117
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Secondary Practice Locations 3

Location 1401 Corporate Park DrClayton, MO 63105-4201 · Phone (636) 288-4149
Location 210 Hospital Dr Fl 3Saint Peters, MO 63376-1659 · Phone (636) 288-4149
Location 311160 Village North DrJennings, MO 63136-6159 · Phone (636) 288-4149

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Abdul Rauf M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133505423
PECOS Enrollment IDI20221011001097
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
204 services86 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
135 services132 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
71 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
35 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
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 Abdul Rauf's NPI number?

The NPI number for Abdul Rauf is 1619533890. It was assigned to this individual provider in the NPPES registry on May 14, 2019.

Where is Abdul Rauf located?

Abdul Rauf practices at 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117. The listed phone number is (314) 768-8778.

What is Abdul Rauf's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Abdul Rauf enrolled in Medicare?

Yes. Abdul Rauf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Abdul Rauf accept?

Health plans from Oscar Insurance Company list Abdul Rauf 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.

Is Abdul Rauf affiliated with any hospitals?

According to CMS data, Abdul Rauf is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Abdul Rauf was last updated on December 15, 2022. 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.