Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Deepak Koul, MD, FACC

Individual provider Cardiovascular Disease Physician · NPI 1417155672

Dr. Deepak Koul, MD, FACC is an Interventional Cardiology in Florissant, Missouri. Qualified in 1999, 27 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
27
Licensed in
IL, MO
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACC — Fellow of the American College of Cardiology
A cardiologist admitted as a fellow of the ACC.

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Practice location Address checks out

1225 Graham Rd Ste C-2310
Florissant, MO 63031-8023
Phone: (314) 953-6300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6810 State Route 162 Ste 102, Maryville, IL 62062-8560 — (618) 288-4076
  • 1225 Graham Rd, Florissant, MO 63031-8012 — (314) 953-6300

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 2010015943 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 036126770 (IL)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 036126770 (IL)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence 2010015943 (MO)

Record details

NPI number1417155672
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FACC
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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