Impact Physician Group, Missouri Cardiology Services LLC
NPI 1497454649 · Cardiovascular Disease Physician · Bridgeton, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Impact Physician Group, Missouri Cardiology Services LLC is a Cardiovascular Disease Physician organization in Bridgeton, MO (NPI 1497454649).
Provider details
- NPI number
- 1497454649
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kamran Quraishi, Owner(502) 345-1561
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 100 Medical Plz Fl 5Lake St Louis, MO 63367-1366Phone: (636) 625-5200
Registry dates
- Enumerated
- 2023-02-27
- Last updated
- 2023-02-27
- Certified
- 2023-02-27
Frequently asked questions
- What is Impact Physician Group, Missouri Cardiology Services LLC's NPI number?
- Impact Physician Group, Missouri Cardiology Services LLC's National Provider Identifier (NPI) is 1497454649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Physician Group, Missouri Cardiology Services LLC?
- Impact Physician Group, Missouri Cardiology Services LLC is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Impact Physician Group, Missouri Cardiology Services LLC located?
- Impact Physician Group, Missouri Cardiology Services LLC's practice location on file with NPPES is 12380 De Paul Dr, Bridgeton, MO 63044-2511.
- What is Impact Physician Group, Missouri Cardiology Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Impact Physician Group, Missouri Cardiology Services LLC is (314) 447-9700.
- Does Impact Physician Group, Missouri Cardiology Services LLC accept Medicare?
- Impact Physician Group, Missouri Cardiology Services LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Impact Physician Group, Missouri Cardiology Services LLC?
- The authorized official listed on Impact Physician Group, Missouri Cardiology Services LLC's NPPES record is Kamran Quraishi, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Physician Group, Missouri Cardiology Services LLC's NPI active?
- Yes — Impact Physician Group, Missouri Cardiology Services LLC's NPI (1497454649) is active in the NPPES registry as of the last update on 2023-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.