Individual provider Active NPI

Thomas Spiro, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1215955455
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MDR4E45 Issued in MO
Practice address
1035 Bellevue Ave
Suite 305
Saint Louis, MO 63117-1854
Phone
(314) 925-4700
Fax
(314) 925-4750
NPI assigned
Jul 17, 2006
Last updated
Sep 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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 MDR4E45 MO Primary

Addresses

Primary practice location

1035 Bellevue Ave
Suite 305
Saint Louis, MO 63117-1854

Mailing address

10777 Sunset Office Dr
Suite 310
Saint Louis, MO 63127-1019
Phone (314) 822-5900

Other identifiers 1

IdentifierTypeStateIssuer
202071619MedicaidMO

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
I20080429000909 MO Practitioner - Internal Medicine 4284713413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

83 Progress Pkwy
Maryland Heights, MO 63043-3701
Phone (314) 434-8174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR4E45MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Kansas PA CurrentSince Nov 2, 2015 Accepting new patients
American Current Care of Kansas PA Current Accepting new patients
SSM Medical Group Inc. CurrentSince Feb 1, 2008 Accepting new patients
SSM Medical Group, Inc. Internal Medicine CurrentSince Feb 1, 2008 Accepting new patients
American Current Care of Kansas PA Current Accepting new patients
SSM Medical Group Past Accepting new patients
SSM Medical Group Past Accepting new patients

Locations

6401 E Front St
Kansas City, MO 64120
Phone (816) 241-0603

83 Progress Pkwy
Maryland Hts, MO 63043
Phone (314) 434-8174

5506 Corporate Dr
Ste 1700
Saint Joseph, MO 64507
Phone (816) 671-4880

1035 Bellevue Ave
Ste 305
Saint Louis, MO 63117
Phone (314) 644-6161

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1215955455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10777 SUNSET OFFICE DR",
            "address_2": "SUITE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271019",
            "telephone_number": "314-822-5900",
            "fax_number": "314-822-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE",
            "address_2": "SUITE 305",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171854",
            "telephone_number": "314-925-4700",
            "fax_number": "314-925-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRO",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MDR4E45",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202071619",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.