Individual provider

Jad Raffoul, M.D.

Interventional Cardiology Physician Cardiovascular Disease Physician Medicare enrolled

Jad Raffoul, M.D. is an Interventional Cardiology Physician in Saint Louis, MO, registered under NPI 1194004952. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1402 S GRAND BLVD FL 14, Saint Louis, MO 63104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1402 S GRAND BLVD FL 14, Saint Louis, MO 63104 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DR.0069683 CO Interventional Cardiology Physician primary
TL5875 WY Cardiovascular Disease Physician

Licences are recorded in 2 states: CO, WY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Interventional Cardiology
PAC ID
9335441815
Enrollment ID
I20221213001634

Medicare enrolment is recorded as approved under the provider type Practitioner - Interventional Cardiology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Colorado and Wyoming. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CO Colorado
Licence
DR.0069683
Specialty
Interventional Cardiology Physician
Verify with the CO board →
WY Wyoming
Licence
TL5875
Specialty
Cardiovascular Disease Physician
Verify with the WY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Interventional Cardiology covers

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. NUCC Health Care Provider Taxonomy, code 207RI0011X
Allopathic & Osteopathic Physicians Internal Medicine Interventional Cardiology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RI0011X Interventional Cardiology Physician Interventional Cardiology DR.0069683 CO primary
207RC0000X Cardiovascular Disease Physician Cardiovascular Disease TL5875 WY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1194004952 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 11, 2011
Last updatedDec 7, 2022
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1402 S GRAND BLVD FL 14
Saint Louis, MO 63104
(314) 577-8762
Mailing address 428 S DURBIN ST STE 104
Casper, WY 82601
The last update on file is Dec 7, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1194004952 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 9 4 0 0 4 9 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 9 4 0 0 8 9 1

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1194004952?
NPI 1194004952 is the National Provider Identifier assigned to Jad Raffoul, M.D. in Saint Louis, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Interventional Cardiology cover?
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the…
How do I contact Jad Raffoul, M.D.?
The phone number on file with NPPES is (314) 577-8762, last updated Dec 7, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jad Raffoul, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1194004952 a valid number?
Yes. 1194004952 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.