Active NPI
John W. Kilgore, M.D.
- Cardiovascular Disease Physician
- Saint Louis, MO
National Provider Identifier
1013916121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R9E12
- Practice address
- 1027 Bellevue Ave
Suite 200
Saint Louis, MO 63117-1851 - Phone
- (314) 645-6450
- Fax
- (314) 645-2560
- NPI assigned
- Jul 20, 2005
- Last updated
- Jan 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R9E12 | MO | Primary |
Addresses
Primary practice location
1027 Bellevue Ave
Suite 200
Saint Louis, MO 63117-1851
Mailing address
12855 N 40 Dr
Suite 300
Saint Louis, MO 63141-8666
Phone (314) 880-6100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202263620 | Medicaid | MO | |
| 202263638 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardiovascular and Thoracic Services, Inc. | Cardiovascular Disease | Past | Accepting new patients |
| Metro Heart Group of St. Louis, Inc. | Past | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1134400484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231113600000",
"number": "1013916121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12855 N 40 DR",
"address_2": "SUITE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418666",
"telephone_number": "314-880-6100",
"fax_number": "314-997-3248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 BELLEVUE AVE",
"address_2": "SUITE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171851",
"telephone_number": "314-645-6450",
"fax_number": "314-645-2560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "JOHN",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2009-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R9E12",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202263620",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202263638",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.