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

Dr. Maisa A Nazzal, MD

Individual provider Nephrology Physician · NPI 1295991073

Dr. Maisa A Nazzal, MD is a Nephrology in Saint Louis, Missouri. Qualified in 2000, 26 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arkansas, Illinois, Missouri and Oklahoma.

Years since qualifying
26
Licensed in
AR, IL, MO, OK
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

675 Old Ballas Rd Ste 104
Saint Louis, MO 63141-7083
Phone: (314) 993-4949
Fax: (314) 993-4945
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 401 Corporate Park Dr, Clayton, MO 63105-4201 — (636) 288-4149

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2016012961 (MO)
Nephrology Physician Taxonomy 207RN0300X · Licence 29008 (OK)
Nephrology Physician Taxonomy 207RN0300X · Licence 036147677 (IL)
Nephrology Physician Taxonomy 207RN0300X · Licence E7470 (AR)

Record details

NPI number1295991073
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2008
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Saint Louis