Active NPI
Edward Charbek, MD
- Pulmonary Disease Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2014022134
- Practice address
- 1402 S Grand Blvd
FDT 14 Floor
Saint Louis, MO 63104-1004 - Phone
- (314) 577-8762
- NPI assigned
- Jul 7, 2011
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2014022134 | MO | |
| Pulmonary Disease Physician | 207RP1001X | 2014022134 | MO | Primary |
Addresses
Primary practice location
1402 S Grand Blvd
FDT 14 Floor
Saint Louis, MO 63104-1004
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other practice location 1
100 Medical Plz
Lake St Louis, MO 63367-1366
Phone (636) 625-5200
Other practice location 2
300 1st Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
1225 S Grand Blvd
Saint Louis, MO 63104-1016
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014022134 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| SSM Health Care Group | Internal Medicine | Current | Accepting new patients |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM-Sluh Inc | Past | Accepting new patients |
Locations
12255 De Paul Dr
Ste 500
Bridgeton, MO 63044
Phone (314) 209-5180
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
1402 S Grand Blvd
#14
Saint Louis, MO 63104
Phone (314) 577-8762
3691 Rutger St
Saint Louis, MO 63110
Phone (314) 268-4101
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
4930 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 361-8700
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
Interoperability endpoints
- echarbek236450@direct-ehr-ssmhc.com
Organizations & group practices 5
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
- Saint Louis, MO
- NPI 1306589544
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1104113398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"address_2": "FDT 14 FLOOR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041004",
"telephone_number": "314-577-8762"
}
],
"practiceLocations": [
{
"address_1": "100 Medical Plz",
"address_purpose": "LOCATION",
"city": "Lake St Louis",
"state": "MO",
"postal_code": "633671366",
"country_code": "US",
"telephone_number": "636-625-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 1st Capitol Dr",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012844",
"country_code": "US",
"telephone_number": "636-947-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARBEK",
"first_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2014022134",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "2014022134",
"primary": true
}
],
"identifiers": [],
"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 Apr 11, 2025; 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.