Active NPI
Sung H Choe, MD
- Anesthesiology Physician
- Washington, MO
National Provider Identifier
1164551925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 114071
- Practice address
- 901 E 5TH St Dept of
Washington, MO 63090-3127 - Phone
- (636) 386-9224
- Fax
- (636) 386-7679
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 114071 | MO | Primary |
Addresses
Primary practice location
901 E 5TH St Dept of
Washington, MO 63090-3127
Mailing address
339 Consort Dr
Ballwin, MO 63011-4439
Phone (314) 435-2203
Other practice location 1
300 1st Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114071 | Other | MO | MEDICAL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080822000734 | MO | Practitioner - Anesthesiology | 0941375059 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Wisconsin School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aim Anesthesia LLC
Practice addresses (Care Compare)
1101 W Gannon Dr
Festus, MO 63028-2602
Phone (636) 931-5997
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911
Hospital & facility affiliations
- Mercy Hospital Jefferson
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114071 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Aim Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Broad Midwest Anesthesia, LLC | Anesthesiology | Past | Accepting new patients |
| Midwest Anesthesia Inc. | Anesthesiology | Past | Accepting new patients |
Locations
3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048
12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 686-4200
12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1376705848
Anesthesiology
Hospital & facility affiliations 1
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": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1164551925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 CONSORT DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114439",
"telephone_number": "314-435-2203",
"fax_number": "702-947-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 5TH ST DEPT OF",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630903127",
"telephone_number": "636-386-9224",
"fax_number": "636-386-7679"
}
],
"practiceLocations": [
{
"address_1": "300 1st Capitol Dr",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012844",
"country_code": "US",
"telephone_number": "636-947-5678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOE",
"first_name": "SUNG",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "114071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "114071",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.