DR. MAGID M FAHIM (M.D.) – Family Medicine Physician, NPI 1356548267

DR. MAGID M FAHIM (M.D.) is a healthcare provider. based in St. louis, Missouri. specializing in PERIPHERAL VASCULAR DISEASE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 2006015933 (MO). The NPI Number for DR. MAGID M FAHIM (M.D.) is 1356548267

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAGID M FAHIM (M.D.)
NPI
1356548267
Phone
Not provided
Address
3635 VISTA AVENUE AT GRAND BLVD.
Enumeration Date
3 July 2007
Last Update Date
8 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8778667123
Graduation Year
1997 (29 years ago)
PAC ID
8123294626
Group Practice PAC ID
9830377688
Professional Enrollment ID
I20120105000104
Address ID
IL629062306AN315XXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:18State licenses:2Digital endpointsOther names

171 PERIPHERAL VASCULAR DISEASE in FL

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Provider Addresses for DR. MAGID M FAHIM (M.D.)

  • 3635 VISTA AVENUE AT GRAND BLVD.

    ST. LOUIS, MO 631100250

    Phone:

    Type: Mailing

  • Southwest 160th Avenue, Miramar, Broward County, Florida, 33027-4145, United States

    SUITE 250

    MIRAMAR, FL 330276308

    Phone: (877) 866-7123

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-01-05

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
I20120105000104IFamily PracticeILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11043Removal of muscle and/or tissue, 20.0 sq cm or less2,772496$0
11042Removal of skin and tissue, 20.0 sq cm or less2,300542$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2,265559$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,535565$0
11044Removal of bone, 20.0 sq cm or less754182$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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Provider's Procedures

DR. MAGID M FAHIM (M.D.) performs procedures in PERIPHERAL VASCULAR DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL11042Removal of skin and tissue first 20 sq cm or less31496

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: 9830377688View full group profile
NameSpecialtyState
Family Practice, Peripheral Vascular DiseaseFL
General SurgeryNJ
Internal MedicineIL
Family Practice, Peripheral Vascular DiseaseFL
General SurgeryIL
Family PracticeIN
Nurse PractitionerIL
Family Practice, Peripheral Vascular DiseaseFL
Family Practice, Peripheral Vascular DiseaseIL
Family Practice, Peripheral Vascular DiseaseIL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MAGID M FAHIM (M.D.)'s NPI?
Yes. DR. MAGID M FAHIM (M.D.) is listed with NPI 1356548267 in the public NPI dataset.
Is DR. MAGID M FAHIM (M.D.) listed as active for patients and plans?
The listing shows DR. MAGID M FAHIM (M.D.) as active in the NPI system.
What is DR. MAGID M FAHIM (M.D.) best known for clinically?
Directory data describes DR. MAGID M FAHIM (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MAGID M FAHIM (M.D.) on a map?
Expect St. Louis, Missouri as a primary anchor for DR. MAGID M FAHIM (M.D.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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