DR. HISHAM Z TAHER M.D.
NPI 1689824468
Internal Medicine - Pulmonary Disease in Saint Louis, MO

Active since September 29, 2008PECOS EnrolledAccepts Medicare Assignment
12700 SOUTHFORK RD, SAINT LOUIS, MO 63128(314) 892-6565(314) 892-4828 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2017, Feb 22, 2016 (2 updates tracked since 2016).

About Dr. Hisham Z Taher M.d. NPPES

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

DR. HISHAM Z TAHER M.D. (NPI 1689824468) is an individual pulmonary disease provider in Saint Louis, Missouri, licensed in Missouri (2016010309) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1689824468
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. HISHAM Z TAHERCredential: M.D.
Location Address12700 SOUTHFORK RDSaint Louis, MO 63128-3201
Mailing Address12700 Southfork Rd, Ste 270Saint Louis, MO 63128-3201 · (314) 892-6565 · Fax (314) 892-4828
Fax(314) 892-4828
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 29, 2008
Last NPPES UpdateMarch 14, 20172 updates tracked since enumeration
NPI 1689824468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in MO · 2016010309 Licensed in IA · 40876
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 003414 (GA), 40876 (IA)
12700 SOUTHFORK RD, Saint Louis, MO 63128

Accepted 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

Dr. Hisham Z Taher 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 ID840461372
PECOS Enrollment IDI20160523001228
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 13

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.
401 services116 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services92 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
81 services77 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
63 services25 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
45 services45 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.
45 services39 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers24 claims24 services$35.24 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers17 claims17 services$79.66 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers19 claims49 services$29.21 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers16 claims96 services$13.78 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers26 claims26 services$52.66 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers27 claims27 services$15.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
12700 SOUTHFORK RD, STE 200/220
SAINT LOUIS, MO 63128
Pediatrics
12700 SOUTHFORK RD, STE 215
SAINT LOUIS, MO 63128
Nurse Practitioner (Family)
12700 SOUTHFORK RD, STE 280
SAINT LOUIS, MO 63128
Internal Medicine (Geriatric Medicine)
12700 SOUTHFORK RD, SUITE 105
SAINT LOUIS, MO 63128
Internal Medicine
12700 SOUTHFORK RD, STE 290
SAINT LOUIS, MO 63128
Internal Medicine
12700 SOUTHFORK RD, STE 270
SAINT LOUIS, MO 63128
Internal Medicine
12700 SOUTHFORK RD, SUITE 200/220
SAINT LOUIS, MO 63128
Obstetrics & Gynecology
12700 SOUTHFORK RD, STE 230
SAINT LOUIS, MO 63128

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 Hisham Taher's NPI number?

The NPI number for Hisham Taher is 1689824468. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Where is Hisham Taher located?

Hisham Taher practices at 12700 Southfork Rd, Saint Louis, MO 63128. The listed phone number is (314) 892-6565.

What is Hisham Taher's specialty?

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

Is Hisham Taher enrolled in Medicare?

Yes. Hisham Taher 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 Hisham Taher accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Hisham Taher 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 Hisham Taher affiliated with any hospitals?

According to CMS data, Hisham Taher is affiliated with Mercy Hospital St Louis and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Hisham Taher was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.