Active NPI 1013178235 Individual Practitioner Male Practitioner

Dr. Ashfaq Ullah , MD

Internal Medicine • Bridgeton, MO

Professional Overview & Biography Verified Profile Summary

Dr. Ashfaq Ullah, MD is a certified Internal Medicine practicing in Bridgeton, MO. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Ullah delivers high-quality medical care to the local community at 12255 DE PAUL DR STE 500.

Dr. Ullah does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12255 De Paul Dr Ste 500

Bridgeton, MO 630442515

Telephone 3142095180

Associated Practice Facility / Clinic

🏢 Ssm Medical Group Inc. Facility NPI 1477564581

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bridgeton, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -3.9 yrs vs City Avg

City Avg: 30.9 Yrs

State Avg: 25.5 Yrs

Regional Practice Density

32 Specialists

Practicing in Bridgeton, MO (2747 Statewide)

Telehealth Adoption Rate

9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ullah (27 Years) 27 Yrs

Bridgeton Specialty Average (30.9 Years) 30.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	686	215	$274.46	$101.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	118	$220.92	$70.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	98	$127.06	$98.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99	95	$461.28	$198.03
94729 Test to examine how well the lungs exchange gases	44	44	$60.00	$8.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$187.37	$129.97
94060 Test to measure expiratory airflow and volume changes before and after medication administration	38	38	$60.00	$9.96
94726 Determination of lung volumes using plethysmography	29	29	$55.00	$11.80
99239 Hospital discharge day management, more than 30 minutes	18	18	$696.03	$105.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$283.24	$134.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$165.00	$143.36
94727 Determination of lung volumes using gas dilution or washout	14	14	$45.00	$11.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	542	200	$225.15	$104.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	87	$105.92	$79.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	71	$267.90	$138.14
99291 Critical care, first 30-74 minutes	58	33	$1400.00	$233.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	34	$239.08	$72.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$159.22	$130.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$562.72	$204.57
94060 Test to measure expiratory airflow and volume changes before and after medication administration	25	25	$54.00	$13.20
94729 Test to examine how well the lungs exchange gases	25	25	$52.20	$9.27
94726 Determination of lung volumes using plethysmography	16	16	$48.75	$12.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$185.86	$112.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	539	216	$160.76	$102.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	216	101	$112.06	$71.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	141	128	$222.67	$135.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	74	$92.33	$77.08
94729 Test to examine how well the lungs exchange gases	53	53	$17.00	$9.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	49	$381.62	$200.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$142.74	$128.19
94726 Determination of lung volumes using plethysmography	43	43	$25.00	$12.31
94060 Test to measure expiratory airflow and volume changes before and after medication administration	42	42	$25.00	$13.02
99221 Initial hospital inpatient care per day, typically 30 minutes	28	28	$265.25	$100.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$128.00	$110.01
99218 Hospital observation care typically 30 minutes	17	17	$250.00	$98.89
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$58.29	$50.62
99219 Hospital observation care, typically 50 minutes	14	14	$312.00	$134.67
94010 Test to measure expiratory airflow and volume	12	12	$26.00	$8.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	328	157	$160.25	$73.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	267	135	$313.38	$106.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	65	$263.48	$137.54
99291 Critical care, first 30-74 minutes	62	36	$812.00	$230.79
99225 Subsequent observation care, typically 25 minutes per day	46	38	$252.00	$74.40
99239 Hospital discharge day management, more than 30 minutes	43	43	$386.00	$112.09
99217 Hospital observation care on day of discharge	42	40	$266.00	$74.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	31	$91.20	$78.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$148.68	$128.66
94729 Test to examine how well the lungs exchange gases	26	26	$17.00	$9.14
94726 Determination of lung volumes using plethysmography	25	25	$25.00	$12.30
94060 Test to measure expiratory airflow and volume changes before and after medication administration	22	22	$25.00	$13.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$620.00	$209.44
99238 Hospital discharge day management, 30 minutes or less	17	17	$257.00	$76.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	350	188	$367.89	$105.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	251	140	$251.37	$73.65
99291 Critical care, first 30-74 minutes	131	74	$812.00	$211.82
99239 Hospital discharge day management, more than 30 minutes	88	87	$380.23	$107.86
99217 Hospital observation care on day of discharge	72	71	$266.00	$74.72
99225 Subsequent observation care, typically 25 minutes per day	40	36	$250.45	$74.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$695.63	$207.03
99238 Hospital discharge day management, 30 minutes or less	18	18	$252.44	$74.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$465.93	$139.71

Medical Specialties & State Licenses

CMS Verified: 2021-07-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036149154

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.

Internal Medicine - Critical Care Medicine

NUCC Taxonomy Code: 207RC0200X

State License MA 246095

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Internal Medicine - Pulmonary Disease

NUCC Taxonomy Code: 207RP1001X

State License MA 246095

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.

Internal Medicine - Pulmonary Disease

NUCC Taxonomy Code: 207RP1001X

State License MO 2018003079

Internal Medicine - Pulmonary Disease

NUCC Taxonomy Code: 207RP1001X

State License IL 036149154

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License MA 246095

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Practice Locations

123 Summer St

Worcester, MA 016081216

Phone: 5083639268

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Dr. Adam Parker , MD

Internal Medicine - Rheumatology

NPI 1023306040

Doctor of Medicine (M.D.)

Dr. Tanner Wallen , DO

Internal Medicine - Pulmonary Disease

NPI 1043731870

Doctor of Osteopathic Medicine (D.O.)

Dr. Nikhat Salamat , MD

Internal Medicine - Pulmonary Disease

NPI 1154360550

Doctor of Medicine (M.D.)

Dr. Patrick Sandiford , MD

Internal Medicine - Pulmonary Disease

NPI 1154389336

Doctor of Medicine (M.D.)

Cynthia Evers , LCSW

Social Worker - Clinical

NPI 1326435892

Licensed Clinical Social Worker

Dr. Romila Aslam , MD

Internal Medicine - Rheumatology

NPI 1407058084

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2021

Internal Medicine (License #036149154 in IL)

📍

Updated Practice Location October 27, 2020

Registered at 12255 DE PAUL DR STE 500, BRIDGETON, MO 630442515 (Tel: 3142095180)

📍

Updated Business Mailing Address October 27, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

✅

NPI Profile Active January 25, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 25, 2018

Registered at 123 SUMMER ST, WORCESTER, MA 016081216 (Tel: 5083639268)

📍

Updated Business Mailing Address January 25, 2018

Registered at 123 SUMMER ST, WORCESTER, MA 016081216 (Tel: 5083639268)

👤

Provider Name / Credentials Updated January 25, 2018

Recorded as ASHFAQ ULLAH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2018

Internal Medicine (License #246095 in MA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2017

Internal Medicine (License #246095 in MA)

✅

NPI Profile Active May 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 17, 2016

Registered at 123 SUMMER ST, WORCESTER, MA 016081216 (Tel: 5083639268)

📍

Updated Business Mailing Address May 17, 2016

Registered at 123 SUMMER ST, WORCESTER, MA 016081216 (Tel: 5083639268)

👤

Provider Name / Credentials Updated May 17, 2016

Recorded as ASHFAQ ULLAH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2016

Internal Medicine (License #206465 in LA)

🟢

Initial NPI Registration & Enumeration June 19, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013178235

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 19, 2008

Last Update: July 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.