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

Jad Raffoul, MD

Individual provider Cardiovascular Disease Physician · NPI 1194004952

Jad Raffoul, MD is an Interventional Cardiology in Saint Louis, Missouri. Qualified in 2009, 17 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Wyoming.

Years since qualifying
17
Licensed in
CO, WY
In the registry since
2011
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

1402 S Grand Blvd Fl 14
Saint Louis, MO 63104-1004
Phone: (314) 577-8762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Mercado St Ste 130, Durango, CO 81301-7306 — (970) 247-1120

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence DR.0069683 (CO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence TL5875 (WY)

Record details

NPI number1194004952
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2011
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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