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

Dr. Issam Atallah, MD

Individual provider Internal Medicine Physician · NPI 1487147971

Dr. Issam Atallah, MD is an Interventional Cardiology in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with SSM Medical Group Inc, a 560-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2018
Specialties on file
2
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

1008 S Spring Ave Ste 2100
Saint Louis, MO 63110-2520
Phone: (702) 277-9607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 2021013982 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2018012088 (MO)

Record details

NPI number1487147971
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2018
Last updated in NPPESAugust 20, 2021
Certification dateJuly 31, 2021

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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