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Deactivated NPI 1922045459 Deactivated / Inactive NPI Male Practitioner

Dr. Abdul Bashir , MD

Internal Medicine • Saint Louis, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Abdul Bashir has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 01, 2006
NPI Deactivation Date June 04, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Abdul Bashir, MD was a registered Internal Medicine practicing in Saint Louis, MO. Throughout an active medical career spanning 14 years, Dr. Bashir provided care at the practice location at 12647 OLIVE BLVD until profile deactivation on 2020-06-04.

Practice Location & Contact Primary Location

Practice Address

12647 Olive Blvd
Suite 600

Saint Louis, MO 631416345

Telephone 3147444100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.7 Yrs
State Avg: 25.5 Yrs
Regional Practice Density
977 Specialists

Practicing in Saint Louis, MO (2747 Statewide)

Telehealth Adoption Rate
12.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 1158441

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.

Practice Associates & Co-Workers

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

10 Associated Practitioners
Carol Taliaferro , LCSW

Social Worker - Clinical

NPI 1043484488

Licensed Clinical Social Worker

NPI 1114992997
NPI 1154510881

Doctor of Philosophy (Ph.D.)

NPI 1174546022
Dr. Subha Parchuri , MD

Internal Medicine - Infectious Disease

NPI 1558334649

Doctor of Medicine (M.D.)

Dr. Susan Owens , MD

Anesthesiology

NPI 1629030911

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 04, 2020

Record deactivated on June 04, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 631416345 (Tel: 3147444100)

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Updated Business Mailing Address July 08, 2007

Registered at 40 HENRIETTA ST, VALLEY STREAM, NY 115803121

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Provider Name / Credentials Updated July 08, 2007

Recorded as ABDUL BASHIR, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #1158441 in NY)

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Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922045459
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: July 08, 2007
Deactivation Date: June 04, 2020

Mailing Address

40 Henrietta St

Valley Stream, NY 115803121

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.