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

Elie C Azrak, MD

Individual provider Cardiovascular Disease Physician · NPI 1962495952

Elie C Azrak, MD is a Cardiovascular Disease (Cardiology) in Bridgeton, Missouri. Qualified in 1992, 34 years ago. Practices with SSM Health Care St Louis, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
34
Licensed in
IL, MO
In the registry since
2005
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

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 (1)

  • 11133 Dunn Rd, Saint Louis, MO 63136-6119 — (314) 653-5125

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 106181 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 036110194 (IL)

Record details

NPI number1962495952
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Ssm Health Care St Louis — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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