Individual provider Active NPI

William Been Suk, DO

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1053428201
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2009030852 Issued in MO
Practice address
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone
(314) 525-1900
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2009030852 MO Primary

Addresses

Primary practice location

10010 Kennerly Rd
Saint Louis, MO 63128-2106

Mailing address

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1900

Other identifiers 6

IdentifierTypeStateIssuer
036116040 7MedicaidIL
P00350429OtherILRAILROAD MEDICARE
08232204OtherILBLUE CROSS BLUE SHIELD
036116040MedicaidIL
06032182OtherILBLUE CROSS BLUE SHIELD
08232205OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100717000134 MO Practitioner - Emergency Medicine 6002811247 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of Mo LLCGroup PAC ID 1951766559, 85 clinicians

Practice addresses (Care Compare)

17065 S Outer Rd
Belton Regional Medical Emergency Room
Belton, MO 64012-2165
Phone (816) 348-1200

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Belton Regional Medical Center Hospital, Belton, MO, CCN 260214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Jul 7, 2019 Accepting new patients
Emergency Medicine Services of Mo, LLC Emergency Medicine CurrentSince Nov 3, 2024 Accepting new patients
Mercy Hospital South CurrentSince Aug 25, 2019 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Jul 7, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 7, 2019 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Feb 1, 2017 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Mercy Hospital Perry Emergency Medicine CurrentSince Feb 16, 2024 Accepting new patients
Mercy Hospital Lincoln CurrentSince Jul 7, 2019 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Sep 3, 2023 Accepting new patients
Mercy Hospital South Emergency Medicine CurrentSince Aug 25, 2019 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 5, 2019 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 5, 2019 Accepting new patients
Mercy Hospital Jefferson CurrentSince Aug 25, 2019 Accepting new patients
Mercy Aco Clinical Services Inc Emergency Medicine CurrentSince Nov 11, 2022 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Jul 7, 2019 Accepting new patients
Mercy Hospital Jefferson CurrentSince Aug 25, 2019 Accepting new patients
Mercy Hospital Perry CurrentSince Feb 16, 2024 Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince Sep 3, 2023 Accepting new patients
Midwest Emergency Centralia Campus Associates, Inc Emergency Medicine Past Accepting new patients
Midwest Emergency Department Services Inc Emergency Medicine Past Accepting new patients
Midwest Emergency Management, Inc. Emergency Medicine Past Accepting new patients
Midwest Emergency Services Inc Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

17065 S Outer Rd
Belton, MO 64012
Phone (816) 322-2000

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: wsuk135412@direct.carenet.org

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 24

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053428201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUK",
        "first_name": "WILLIAM",
        "middle_name": "BEEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2023-03-07",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2009030852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116040 7",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00350429",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232204",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116040",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06032182",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232205",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.