Active NPI
Nicholas John Mayer, D.O.
- Nephrology Physician
- Florissant, MO
National Provider Identifier
1104075597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2009007663
- Practice address
- 1265 Graham Rd Ste 1
Florissant, MO 63031-8018 - Phone
- (314) 741-1600
- Fax
- (314) 741-1677
- NPI assigned
- Sep 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 036123985 | IL | |
| Nephrology Physician | 207RN0300X | 2009007663 | MO | Primary |
Addresses
Primary practice location
1265 Graham Rd Ste 1
Florissant, MO 63031-8018
Mailing address
1265 Graham Rd Ste 1
Florissant, MO 63031-8018
Phone (314) 741-1600
Other practice location 1
2044 Madison Ave Ste 15
Granite City, IL 62040-4641
Phone (314) 741-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104075597 | Medicaid | MO | |
| 300117440001 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nmayer31089@direct.acumenmd.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1265 Graham Rd
Suite 1
Florissant, MO 63031-8018
Phone (314) 741-1600
1400 US Hwy 61
Suite 240a
Festus, MO 63028-4141
Phone (636) 937-3337
2044 Madison Ave
Granite City, IL 62040-4641
Phone (314) 741-1600
Hospital & facility affiliations
- Metro Dialysis Center - North
- Fresenius of Normandy
- Bma St. Louis
- Christian Hospital Northeast
- Gateway Regional Medical Center
- SSM Health Depaul Hospital St Louis
- Memorial Hospital
- Alton Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Louis Kidney Care LLC | Nephrology | Current | Accepting new patients |
| Doctors Group , PC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
2 Memorial Dr
Ste 201
Alton, IL 62002
Phone (618) 463-2390
2044 Madison Ave
Ste 15
Granite City, IL 62040
Phone (618) 451-1500
55 Nesbit Dr
Ste B
Bonne Terre, MO 63628
Phone (636) 937-3337
1400 US Highway 61
Ste 240A
Crystal Cty, MO 63028
Phone (636) 937-3337
1265 Graham Rd
Ste 1
Florissant, MO 63031
Phone (314) 551-0338
11155 Dunn Rd
Ste 211N
Saint Louis, MO 63136
Phone (314) 355-0018
Interoperability endpoints
- https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
- nmayer134988@direct.carenet.org
- mayern@yourcarecommunity.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Bridgeton, MO
- NPI 1730259888
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Louis, MO
- NPI 1457463325
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Florissant, MO
- NPI 1932201118
Dialysis facility
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
-
- General Acute Care Hospital
- Granite City, IL
- NPI 1326765884
-
- Urgent Care Clinic/Center
- Glen Carbon, IL
- NPI 1700586344
Hospital
-
- Urgent Care Clinic/Center
- Columbia, IL
- NPI 1982304523
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1104075597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 GRAHAM RD STE 1",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318018",
"telephone_number": "314-741-1600",
"fax_number": "314-741-1677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 GRAHAM RD STE 1",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318018",
"telephone_number": "314-741-1600",
"fax_number": "314-741-1677"
}
],
"practiceLocations": [
{
"address_1": "2044 Madison Ave Ste 15",
"address_purpose": "LOCATION",
"city": "Granite City",
"state": "IL",
"postal_code": "620404641",
"country_code": "US",
"telephone_number": "314-741-1600",
"fax_number": "314-741-1677",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYER",
"first_name": "NICHOLAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-10",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": "036123985",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MO",
"license": "2009007663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104075597",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300117440001",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nmayer31089@direct.acumenmd.com",
"affiliation": "N",
"address_1": "1265 Graham Rd Ste 1",
"city": "Florissant",
"state": "MO",
"country_code": "US",
"postal_code": "630318018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.