DR. DANY ISSA (M.D.) – Nephrology Physician, NPI 1578536116
Nephrology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
193 NEPHROLOGY in SC
Provider Addresses for DR. DANY ISSA (M.D.)
9-FDT, 3635 VISTA AVE
ST LOUIS UNIVERSITY HOSPITAL, DIVISION OF NEPHROLOGY.
ST LOUIS, MO 63110
Phone: (314) 577-8765
Type: Mailing
PO BOX 23321, MUSC
NEW YORK, NY 100870001
Phone: (803) 395-2145
Type: Mailing
3000 SAINT MATTHEWS RD
ORANGEBURG, SC 291181442
Phone: (803) 395-2145
Type: Location
3660, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States
DOCTOR'S OFFICE BUILDING
SAINT LOUIS, MO 631102540
Phone: (314) 577-6000
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: 2024-04-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240416002400 | I | Nephrology | SC | TBD |
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.
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 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NC | |
| Family Practice | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Internal Medicine | NC | |
| Nurse Practitioner | SC | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Nurse Practitioner | NC | |
| Emergency Medicine | SC | |
| Nurse Practitioner | SC | |
| G A S T R O E N T E R O L O G Y | SC |
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