DR. ABID NISAR MD NPI 1245375567

NPI Information

  • NPI: 1245375567
  • Provider Name: DR. ABID NISAR, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2730 S SAINT PETERS PKWY STE 103
    SAINT PETERS, MO
    ZIP 63303
  • Phone: (314) 960-1052

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NPI Details

DR. Abid Nisar, MD is a family medicine in Saint Peters, MO with 50 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Abid Nisar, MD NPI is 1245375567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2730 S SAINT PETERS PKWY STE 103
SAINT PETERS, MO
ZIP 63303-677
Phone: (314) 960-1052
Fax: (636) 685-0021

The NPI 1245375567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 6/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine036069763ILLINOISNo
2207RH0003XInternal MedicineHematology & Oncology036069763ILLINOISNo
3207Q00000XFamily MedicineR1D36MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00204269OTHERMISSOURIRR MEDICARE
2202190617MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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