David S Lickerman, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R9812 Issued in MO

Practice address

232 S Woods Mill Road
Chesterfield, MO 63017-3417

Phone

(314) 205-6990

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Merit-based Incentive Payment System (MIPS)

Final score

87.3 of 100Reported as group

Quality

70.94

Improvement activities

40

Cost

92.94

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Cep America, LLC

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1619332046
  Medicare reassignment NPD
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  MO

  Medicare reassignment NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Lake St Louis, MO
  • NPI 1982259305
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• BC Missouri Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Saint Peters, MO
  • NPI 1538184106
  NPD (past)
• BC Progress Emergency Physicians, LLP

  • Emergency Medicine Physician
  • O Fallon, MO
  • NPI 1083761563
  NPD (past)
• Christian Hospital Northeast- Northwest

  • General Practice Physician
  • Saint Louis, MO
  • NPI 1265440150
  NPD (past)
• Emergency Physicians of St. Luke'S, LLC

  • Emergency Medicine Physician
  • Chesterfield, MO
  • NPI 1215359815
  NPD (past)
• Physician Specialists of St Lukes LLC

  • Internal Medicine Physician
  • Chesterfield, MO
  • NPI 1235168410

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1205869732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL ROAD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-205-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL ROAD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-205-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICKERMAN",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R9812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205869732",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201165511",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Li
• Violet Li
• Stanley L Librach, M.D.
• Faye Licata, DMD FAGD PC
• Rayvlin John Talavera Liceralde, MD
• Stephanie Lickerman, APRN, ANP-BC
• Micah J Lieberman, D.C.
• Brandi Liebig, MS,CCC-SLP
• Life Care Home Health Services LLC
• Lifetime Dental Care of Missouri, Richard Straus, D.M.D., P.C.

• Emergency Medicine Physician in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.

Verify at the official NPI Registry.