Antoine M Adem, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

2024016604 Issued in MO

Practice address

413 Wythe House CT
Saint Louis, MO 63141-8179

Phone

(636) 931-7101

Fax

(636) 933-2383

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Metro Heart Group of St. Louis, Inc.

  • Specialist
  • Festus, MO
  • NPI 1487650545
  NPD (past)
• Midwest Health Group Convenient Care

  • Family Medicine Physician
  • Farmington, MO
  • NPI 1578797031
  NPD (past)
• Midwest Health Group Convenient Care, LLC

  • Non-Pharmacy Dispensing Site
  • Fredericktown, MO
  • NPI 1861948697
  NPD (past)
• Practice Management Affiliates Consulting Inc

  • Family Medicine Physician
  • Saint Peters, MO
  • NPI 1053341289
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1114964442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504835",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631504835",
            "telephone_number": "636-931-7101",
            "fax_number": "636-933-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 WYTHE HOUSE CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418179",
            "telephone_number": "636-931-7101",
            "fax_number": "636-933-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEM",
        "first_name": "ANTOINE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2024016604",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2024016604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00258467",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205889926",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507493401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oluwaseyi Adeleye, MD
• Sopefoluwa Omotinuola Adeleye, MD
• Adella Consumer Directed Services, LLC
• Alexandra Adelman, OTR/L
• Brandy Nicole Hancock Adelsberger, RD
• Adetayo Richard Ademuyiwa, M.D.
• Foluso Olabisi Ademuyiwa, MD
• Bethany Adent, RD
• Opeolu Makanju Adeoye, MD
• Adetokunbo A Aderibigbe

• Cardiovascular Disease Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.