Individual provider Active NPI

Amanda Jewel Sileo, D.O.

  • Internal Medicine Physician
  • Wentzville, MO
National Provider Identifier
1124306287
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2011014918 Issued in MO
Practice address
1502 W Meyer Rd
Wentzville, MO 63385-3653
Phone
(636) 698-6266
NPI assigned
Jul 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2011014918 MO Primary

Addresses

Primary practice location

1502 W Meyer Rd
Wentzville, MO 63385-3653

Mailing address

1104 Autumn Creek CT Apt a
Manchester, MO 63088-2422
Phone (817) 897-0496

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141028001356 MO Practitioner - Internal Medicine 0547481996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians
Arnold Physical Therapy and Sports Medicine LLCGroup PAC ID 5698803278, 87 clinicians

Practice addresses (Care Compare)

1820 Zumbehl Rd
Suite 120
Saint Charles, MO 63303-2761
Phone (636) 947-2334

621 S New Ballas Rd
Suite 189a
Saint Louis, MO 63141-8255
Phone (314) 251-6335

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Saint Louis, MO, CCN 267565
  • Amedisys Home Health of Missouri Home health agency, Hillsboro, MO, CCN 267270
  • Mercy Hospice Hospice, Saint Louis, MO, CCN 261510
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011014918MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Internal Medicine CurrentSince Sep 17, 2014 Accepting new patients

Locations

1820 Zumbehl Rd
Ste 120
Saint Charles, MO 63303
Phone (314) 801-5350

1820 Zumbehl Rd
Ste 120A
Saint Charles, MO 63303
Phone (636) 928-1237

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

1502 W Meyer Rd
Wentzville, MO 63385
Phone (636) 698-6200

Interoperability endpoints

  • Direct secure messaging: asileo127877@directc.mercy.net

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1311379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1124306287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 AUTUMN CREEK CT APT A",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630882422",
            "telephone_number": "817-897-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853653",
            "telephone_number": "636-698-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILEO",
        "first_name": "AMANDA",
        "middle_name": "JEWEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-23",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2011014918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

Verify at the official NPI Registry.