Individual provider Active NPI

Sarah Jost Fouke, MD

  • Neurological Surgery Physician
  • O Fallon, IL
National Provider Identifier
1154433712
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
036157579 Issued in IL
Practice address
3 Saint Elizabeth Blvd Ste 3900
O Fallon, IL 62269-1282
Phone
(888) 828-8608
Fax
(314) 558-9017
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 2015017231 MO
Neurological Surgery Physician 207T00000X 036157579 IL Primary

Addresses

Primary practice location

3 Saint Elizabeth Blvd Ste 3900
O Fallon, IL 62269-1282

Mailing address

12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone (314) 806-1770

Other practice location 1

5301 Veterans Memorial Pkwy Ste 105
Saint Peters, MO 63376-3429
Phone (888) 828-8609

Other practice location 2

12855 N 40 Dr Ste 125
Saint Louis, MO 63141-8663
Phone (314) 806-1770

Other identifiers 3

IdentifierTypeStateIssuer
113620051OtherMOMEDICARE MO
200063204MedicaidMO
F400775751OtherILMEDICARE IL

Other names 1

  • Dr. Sarah Christine Jost Former name

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
I20061129000247 MO Practitioner - Neurosurgery 3476551409 Reassigns benefits to 2 organizations
I20210825001012 IL Practitioner - Neurosurgery 3476551409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Washington University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians

Practice addresses (Care Compare)

112 Piper Hill Dr
Suite 12
Saint Peters, MO 63376-1690
Phone (636) 939-9202

12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8657

6812 State Route 162 200
Maryville, IL 62062-8562
Phone (618) 288-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion155
Laminectomy or laminotomy (partial removal of spine bones)68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036157579ILMDNeurological Surgery Physician
2015017231MOMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of St. Louis, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Anderson Medical Group, LLC Neurological Surgery CurrentSince May 1, 2022 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Urology of St. Louis, Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2044 Madison Ave
Ste G7
Granite City, IL 62040
Phone (314) 500-2424

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

6812 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

6828 State Route 162
Ste A
Maryville, IL 62062
Phone (618) 288-8363

3 Saint Elizabeth Blvd
Ste 3200
O Fallon, IL 62269
Phone (618) 489-8030

3 Saint Elizabeth Blvd
Ste 3900
O Fallon, IL 62269
Phone (314) 806-1770

3009 N Ballas Rd
Ste 250C
Saint Louis, MO 63131
Phone (314) 432-5616

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

12855 N 40 Dr
Ste 375
Saint Louis, MO 63141

12855 N 40 Dr
Ste 125
Saint Louis, MO 63141
Phone (314) 806-1770

112 Piper Hill Dr
Ste 3
Saint Peters, MO 63376
Phone (314) 806-1770

5301 Veterans Memorial Pkwy
Ste 105
Saint Peters, MO 63376
Phone (314) 806-1770

112 Piper Hill Dr
Ste 12
Saint Peters, MO 63376
Phone (314) 806-1770

Interoperability endpoints

  • Direct secure messaging: sarahfouke@slus.allscriptsdirect.net
  • Direct secure messaging: sfouke482860@wm.providencedirect.org

Organizations & group practices 8

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1154433712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 375",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-806-1770",
            "fax_number": "314-558-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT ELIZABETH BLVD STE 3900",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691282",
            "telephone_number": "888-828-8608",
            "fax_number": "314-558-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Veterans Memorial Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633763429",
            "country_code": "US",
            "telephone_number": "888-828-8609",
            "fax_number": "314-558-9017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12855 N 40 Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418663",
            "country_code": "US",
            "telephone_number": "314-806-1770",
            "fax_number": "314-558-9017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUKE",
        "first_name": "SARAH",
        "middle_name": "JOST",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2015017231",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036157579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MO",
            "identifier": "113620051",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200063204",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IL",
            "identifier": "F400775751",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "JOST",
            "middle_name": "CHRISTINE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in O Fallon, IL

Sources for this page

Verify at the official NPI Registry.