Individual provider Active NPI

Peter W. Warner, D.O.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1093756017
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002007117 Issued in MO
Practice address
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone
(314) 525-1328
NPI assigned
Jun 9, 2006
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002007117 MO Primary
Hospitalist Physician 208M00000X 2002007117 MO

Addresses

Primary practice location

10010 Kennerly Rd
Saint Louis, MO 63128-2106

Mailing address

10504 Conway Rd
Saint Louis, MO 63131-2814
Phone (417) 529-1605

Other practice location 1

901 E 5th St
Washington, MO 63090-3127
Phone (636) 239-8231

Other practice location 2

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339

Other practice location 3

1400 US Highway 61
Crystal Cty, MO 63028-4108
Phone (636) 933-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090105000091 MO Practitioner - Family Practice 9133217599 Reassigns benefits to 7 organizations
I20150923000642 AR Practitioner - Family Practice 9133217599 Reassigns benefits to 1 organization
I20241104001861 MI Practitioner - Family Practice 9133217599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
Mercy Clinic Adult Hospitalists - St. Louis, LLCGroup PAC ID 6002809944, 139 clinicians
Mercy Clinic Adult Hospitalists - Washington, LLCGroup PAC ID 3577630540, 31 clinicians

Practice addresses (Care Compare)

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1899

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-3423

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339

901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002007117MOMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC Family Medicine CurrentSince May 1, 2023 Accepting new patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC CurrentSince Oct 1, 2020 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Washington Regional Medical System Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Washington Regional Medical System Hospitalist CurrentSince Aug 1, 2015 Accepting new patients
P & a Warner, LLC Family Medicine CurrentSince Jun 30, 2024 Accepting new patients
Washington Regional Medical System Current Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
St Anthonys Physician Organization Hospitalist Services, L.C. Hospitalist CurrentSince Oct 1, 2020 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Oct 1, 2020 Accepting new patients
Mercy Hospitals East Communities CurrentSince Oct 1, 2020 Accepting new patients
Mercy Hospitals East Communities CurrentSince Oct 1, 2020 Accepting new patients
Mercy Clinic Adult Hospitalists - Washington, LLC Hospitalist CurrentSince Oct 1, 2020 Accepting new patients
Grand Traverse Physician Services PC Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Washington Regional Medical System Past Accepting new patients
Sjmgroup Past Accepting new patients
Mercy Hospitals East Communities Family Medicine Past Accepting new patients
Mercy Hospital South Past Accepting new patients
Washington Regional Medical Center Past Accepting new patients
Apogee Medical Group Missouri Inc Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

12 E Appleby Rd
Fayetteville, AR 72703
Phone (479) 463-4444

12 E Appleby Rd
Ste 102
Fayetteville, AR 72703
Phone (479) 463-4746

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1025

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

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

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

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

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

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

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

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

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: peter.warner.p3@direct.essehealth.nextgenshare.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1093756017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10504 CONWAY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312814",
            "telephone_number": "417-529-1605"
        },
        {
            "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": "314-525-1328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E 5th St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630903127",
            "country_code": "US",
            "telephone_number": "636-239-8231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 S New Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418221",
            "country_code": "US",
            "telephone_number": "314-251-6339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 US Highway 61",
            "address_purpose": "LOCATION",
            "city": "Crystal Cty",
            "state": "MO",
            "postal_code": "630284108",
            "country_code": "US",
            "telephone_number": "636-933-5337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "PETER",
        "middle_name": "W.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002007117",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2002007117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.