Individual provider Active NPI

Milton Sallis, MD

  • Emergency Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1114912037
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2002020415 Issued in MO
Practice address
378 Dinsmoor Dr
Chesterfield
Chesterfield, MO 63017-2956
Phone
(314) 583-9142
NPI assigned
Sep 16, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-109941 IL
Emergency Medicine Physician 207P00000X 2002020415 MO Primary
Internal Medicine Physician 207R00000X 020415 MO

Addresses

Primary practice location

378 Dinsmoor Dr
Chesterfield
Chesterfield, MO 63017-2956

Mailing address

378 Dinsmoor Dr
Chesterfield
Chesterfield, MO 63017-2956
Phone (314) 583-9142

Other identifiers 3

IdentifierTypeStateIssuer
207673021MedicaidMO
207673005MedicaidMO
207673013MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031209000104 MO Practitioner - Emergency MedicinePractitioner - Internal Medicine 9830095116 Reassigns benefits to 3 organizations
I20241114002861 IL Practitioner - Emergency Medicine 9830095116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

9515 Holy Cross LN
Breese, IL 62230-3618
Phone (618) 526-5325

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-109941ILMDEmergency Medicine Physician
020415MOMDInternal Medicine Physician
118125MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Jefferson CurrentSince Aug 24, 2019 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Feb 1, 2018 Accepting new patients
Mercy Hospital Jefferson CurrentSince Aug 24, 2019 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 5, 2019 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Dec 5, 2019 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients
SLH Vista, Inc. Emergency Medicine Past Accepting new patients
North County Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Midwest Emergency Associates-Fenton, LLC Emergency Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

7245 Raider Rd
Bonne Terre, MO 63628
Phone (573) 358-1400

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

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

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

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

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

1225 Graham Rd
Florissant, MO 63031
Phone (314) 653-5630

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

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

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

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

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

751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343

500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000

Interoperability endpoints

  • Direct secure messaging: msallis1096495@direct.carenet.org

Organizations & group practices 19

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 19

Hospital & facility affiliations 5

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1114912037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 DINSMOOR DR",
            "address_2": "CHESTERFIELD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172956",
            "telephone_number": "314-583-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 DINSMOOR DR",
            "address_2": "CHESTERFIELD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172956",
            "telephone_number": "314-583-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLIS",
        "first_name": "MILTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-109941",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2002020415",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "020415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207673021",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207673005",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207673013",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.