DR. BASSAM A. ROUKOZ (M.D.) – Interventional Cardiology Physician, NPI 1396744439

DR. BASSAM A. ROUKOZ (M.D.) is a healthcare provider. based in Saint louis, Missouri. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 2003007582 (MO). The NPI Number for DR. BASSAM A. ROUKOZ (M.D.) is 1396744439

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. BASSAM A. ROUKOZ (M.D.)
NPI
1396744439
Phone
(314) 880-6100
Address
12855 N FORTY DR
Enumeration Date
20 July 2005
Last Update Date
26 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6369335055
Graduation Year
1995 (31 years ago)
PAC ID
6002802071
Group Practice PAC ID
8820016207
Professional Enrollment ID
I20040423000938
Address ID
MO636401439FA509XXBXXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

783 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MO

Provider Addresses for DR. BASSAM A. ROUKOZ (M.D.)

  • North Forty Drive, Frontenac, Saint Louis County, Missouri, 63131, United States

    SUITE 300

    SAINT LOUIS, MO 631418666

    Phone: (314) 880-6100

    Fax: (314) 997-3248

    Type: Mailing

  • 1390 HIGHWAY 61

    SUITE 3300

    FESTUS, MO 630284137

    Phone: (636) 931-6302

    Fax: (636) 931-3609

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 128 Open Payments records for all available years, with a total value of $3,130.

Total Amount is formed as General ($3,130) + Research ($0) + Ownership ($0) = $3,130.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Boston Scientific Corporation ($350).

Total Amount

$3,130

General + Research + Ownership

Payments

128

Total payment records

General Amount

$3,130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2004-04-23

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
I20040423000938ICardiovascular Disease (Cardiology)MOTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only947766$0
99214Established patient office or other outpatient visit, 30-39 minutes786503$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes403167$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function333330$0
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days22982$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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Provider's Procedures

DR. BASSAM A. ROUKOZ (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies193191
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart9693
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers5745

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: 8820016207View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerKS
Nurse PractitionerMO
Cardiovascular Disease (Cardiology), Internal MedicineMO
Nurse PractitionerMO
-MO
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology), Internal MedicineMO
Nurse PractitionerMO
-MO

Reviews

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Frequently asked questions

Can I use this page to confirm DR. BASSAM A. ROUKOZ (M.D.)'s NPI?
Yes. DR. BASSAM A. ROUKOZ (M.D.) is listed with NPI 1396744439 in the public NPI dataset.
Is DR. BASSAM A. ROUKOZ (M.D.) still practicing?
DR. BASSAM A. ROUKOZ (M.D.) is currently listed as active in the public NPI registry.
What is DR. BASSAM A. ROUKOZ (M.D.)'s specialty?
The listing groups DR. BASSAM A. ROUKOZ (M.D.) with Interventional Cardiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. BASSAM A. ROUKOZ (M.D.) based?
DR. BASSAM A. ROUKOZ (M.D.) is tied to Saint Louis, Missouri in the data we show; additional addresses may exist on the full record.
Why does DR. BASSAM A. ROUKOZ (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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