Adam Bales, D.O.
Individual provider Active NPI Anesthesiology Physician · Saint Louis, MO
NPI 1043654429 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1043654429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 2017010583 (MO)
- Practice address
- 1402 S Grand Blvd
M260
Saint Louis, MO 63104-1004 - Phone
- (314) 977-9853
- NPI assigned
- Apr 29, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northstar Anesthesia of Missouri LLC
Practice addresses (Care Compare)
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729
1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-2819
Hospital & facility affiliations
- St Joseph Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180208001788 | MO | Practitioner - Anesthesiology | 5890097364 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017010583 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Missouri, LLC | Anesthesiology | Current |
Accepting new patients |
Locations
203 W Road Mize Rd
Ste 218
Blue Springs, MO 64014
Phone (816) 874-4181
201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2017010583 | MO | Yes |
Addresses
Primary practice location
1402 S Grand Blvd
M260
Saint Louis, MO 63104-1004
Mailing address
236 NE Dreamweaver Ave
Lees Summit, MO 64086-5851
Phone (816) 718-1187
Other providers in Saint Louis, MO
- Joe V Baldwin
- Michaela Baldwin
- Morgan Anne Baldwin
- Tiffany Baldwin
- Robert Donald Bale
- Dennis M Balfe
- Almira Balic
- Michelle S Baliss
- Amanda Balk
- Kelly Elizabeth Ball
All providers in Saint Louis, MO · Anesthesiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.