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

Individual provider Cardiovascular Disease Physician · NPI 1194013425

Dr. Imaad Razzaque, MD is a Cardiovascular Disease (Cardiology) in Bridgeton, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2011, 15 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri and Wisconsin.

Years since qualifying
15
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO, WI
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514
Phone: (314) 218-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11125 Dunn Rd Ste 204, Saint Louis, MO 63136-6188 — (314) 839-5522
  • 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 — (414) 649-6000

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 2018017496 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 62022-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2011018675

Record details

NPI number1194013425
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2011
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address11125 Dunn Rd Ste 204, Saint Louis, MO 63136-6188

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Bridgeton