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

Mr. Muhaddis Ejaz Ahmad, MD

Individual provider Family Medicine Physician · NPI 1417576984

Mr. Muhaddis Ejaz Ahmad, MD is a Family Practice in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with St Anthonys Physician Organization Hospitalist Services Lc, a 139-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2020
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

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1400 Us Highway 61, Festus, MO 63028-4100 — (636) 933-5337
  • 615 S New Ballas Rd, Saint Louis, MO 63141-8221 — (314) 251-6339
  • 901 E 5th St, Washington, MO 63090-3127 — (636) 239-8231

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 2023032162 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2023032162 (MO)

Record details

NPI number1417576984
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2020
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Anthonys Physician Organization Hospitalist Services Lc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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