SOHA AFZAL (DO) – Internal Medicine Physician, NPI 1023696507

SOHA AFZAL (DO) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 2024037750 (MO). The NPI Number for SOHA AFZAL (DO) is 1023696507

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SOHA AFZAL (DO)
NPI
1023696507
Phone
(314) 525-1328
Address
10010 KENNERLY ROAD
Enumeration Date
29 March 2021
Last Update Date
15 October 2024

Doctor Profile

Medical School Name
ALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3145251328
Graduation Year
2021 (5 years ago)
PAC ID
8729482872
Group Practice PAC ID
5092980656
Professional Enrollment ID
I20241108001124
Address ID
MO631282106SA10010RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

Provider Addresses for SOHA AFZAL (DO)

  • 10010 KENNERLY ROAD

    3 SOUTHBRIDGE

    SAINT LOUIS, MO 63128

    Phone: (314) 525-1328

    Type: Mailing

  • 10010 KENNERLY RD

    SAINT LOUIS, MO 631282106

    Phone: (314) 525-1328

    Type: Location

  • 1400 US Highway 61

    Festus, MO 630284100

    Phone: (636) 933-5337

    Type: Location

  • 901 E 5th St

    Washington, MO 630903127

    Phone: (636) 239-8231

    Type: Location

  • 615 S New Ballas Rd

    Saint Louis, MO 631418221

    Phone: (314) 251-6339

    Type: Location

  • 401 W GREENLAWN AVE

    LANSING, MI 489102819

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $702.

Total Amount is formed as General ($702) + Research ($0) + Ownership ($0) = $702.

Last reported payment date: 2024-02-15 • Largest payer in this snapshot: Inari Medical, Inc. ($187).

Total Amount

$702

General + Research + Ownership

Payments

17

Total payment records

General Amount

$702

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241108001124IInternal MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092980656View full group profile
NameSpecialtyState
Internal MedicinePA
Internal MedicineNV
Internal MedicineMO
Internal Medicine, HospitalistIL
Family PracticeKY
Internal MedicineMO
P S Y C H I A T R YMO
Internal Medicine, HospitalistMO
Internal MedicineMO
Internal MedicineMO

Reviews

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Frequently asked questions

Can I use this page to confirm SOHA AFZAL (DO)'s NPI?
Yes. SOHA AFZAL (DO) is listed with NPI 1023696507 in the public NPI dataset.
Can I rely on SOHA AFZAL (DO) being an active provider?
As of the registry snapshot, SOHA AFZAL (DO) is marked active.
What taxonomy line describes SOHA AFZAL (DO)?
For research purposes, treat SOHA AFZAL (DO) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for SOHA AFZAL (DO)?
SOHA AFZAL (DO)'s geographic hint is Saint Louis, Missouri in our summary view.
Is the information about SOHA AFZAL (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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