OrganizationActive
Digestive Disease Care Center, LLC
NPI 1578799235 · Gastroenterology Physician · Lake St Louis, MO
Provider details
- NPI number
- 1578799235
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Qaiser Jawaid, President(636) 625-8300
- License
- 2004001639 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
300 Medical Plz
Suite 100
Lake St Louis, MO 63367-1481
Phone: (636) 625-8300
Fax: (636) 625-8301
Street-level locationGet directions
Mailing address
300 Medical Plz
Lake St Louis, MO 63367-1481
Registry dates
- Enumerated
- 2009-06-08
- Last updated
- 2011-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.