Individual provider Active NPI

Tshiswaka Kayembe, M.D.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1164477766
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R3H62 Issued in MO
Practice address
8793 Watson Rd
Saint Louis, MO 63119
Phone
(314) 968-0700
Fax
(314) 961-0909
NPI assigned
May 23, 2006
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Cardiovascular Disease Physician 207RC0000X R3H62 MO Primary

Addresses

Primary practice location

8793 Watson Rd
Saint Louis, MO 63119

Mailing address

8793 Watson Rd
Saint Louis, MO 63119-5111
Phone (314) 968-0700

Other practice location 1

3394 McKelvey Rd Ste 115
Bridgeton, MO 63044-2531
Phone (314) 968-0700

Other practice location 2

13303 Tesson Ferry Rd Ste 125
Saint Louis, MO 63128-4076
Phone (314) 270-8540

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
I20041204000044 MO Practitioner - Cardiovascular Disease (Cardiology) 2466351168 Reassigns benefits to 1 organization
I20220829002525 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466351168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians
Waukegan Clinic CorpGroup PAC ID 4284631086, 60 clinicians

Practice addresses (Care Compare)

101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790

1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone (847) 360-3000

2100 Madison Ave
Granite City, IL 62040-4713
Phone (618) 798-3000

8793 Watson Rd
Saint Louis, MO 63119-5111
Phone (314) 968-0400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3H62MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Aug 1, 2025 Accepting new patients
Waukegan Clinic Corp CurrentSince Aug 1, 2025 Accepting new patients
CGH Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Midwest Health Professionals PC Cardiovascular Disease CurrentSince Nov 24, 1997 Accepting new patients
CGH Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Comprehensive Cardiovascular Consultants, Inc. Past Accepting new patients
Comprehensive Cardiovascular Consultants, Inc. Cardiovascular Disease PastSince Sep 8, 2023 Accepting new patients

Locations

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

200 S Greenleaf St
Ste L
Gurnee, IL 60031
Phone (847) 360-7888

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

11520 Saint Charles Rock Rd
Ste 106
Bridgeton, MO 63044
Phone (314) 209-9331

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

3394 McKelvey Rd
Ste 115
Bridgeton, MO 63044
Phone (314) 643-7692

3444 McKelvey Rd
Bridgeton, MO 63044
Phone (314) 291-6224

430 N West St
Perryville, MO 63775
Phone (273) 547-1011

1028 S Kirkwood Rd
Saint Louis, MO 63122
Phone (314) 394-2255

13303 Tesson Ferry Rd
Ste 125
Saint Louis, MO 63128
Phone (314) 270-8540

2115 Kappel Dr
Saint Louis, MO 63136
Phone (314) 867-7474

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

3933 S Broadway
Saint Louis, MO 63118
Phone (314) 865-3333

610 Prigge Rd
Saint Louis, MO 63138
Phone (314) 741-9339

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

8793 Watson Rd
Saint Louis, MO 63119
Phone (314) 961-9080

8793 Watson Rd
Ste B
Saint Louis, MO 63119

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

1145 E Cherry St
Troy, MO 63379
Phone (636) 528-5712

1169 E Cherry St
Troy, MO 63379
Phone (573) 221-0304

7491 Big Bend Blvd
Webster Groves, MO 63119
Phone (314) 961-3038

Interoperability endpoints

  • Direct secure messaging: dkayembe@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBJEAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBADDD/Endpoint/JBADDD
  • Direct secure messaging: tshiswaka.kayembe.1@28328.direct.athenahealth.com
  • Direct secure messaging: tshiswake.kayembe.1@2069.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1164477766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8793 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195111",
            "telephone_number": "314-968-0700",
            "fax_number": "314-961-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8793 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63119",
            "telephone_number": "314-968-0700",
            "fax_number": "314-961-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3394 McKelvey Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442531",
            "country_code": "US",
            "telephone_number": "314-968-0700",
            "fax_number": "314-961-0909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13303 Tesson Ferry Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631284076",
            "country_code": "US",
            "telephone_number": "314-270-8540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAYEMBE",
        "first_name": "TSHISWAKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R3H62",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.