Individual provider Active NPI

Giovanni Speziali, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Saint Louis, MO
National Provider Identifier
1245218965
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2019821320 Issued in MO
Practice address
10012 Kennerly Rd Ste 403
Saint Louis, MO 63128-2197
Phone
(314) 880-6676
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2019821320 MO Primary

Addresses

Primary practice location

10012 Kennerly Rd Ste 403
Saint Louis, MO 63128-2197

Mailing address

10012 Kennerly Rd Ste 403
Saint Louis, MO 63128-2197
Phone (314) 880-6676

Other identifiers 1

IdentifierTypeStateIssuer
068457100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MO2 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
I20060926000334 PA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 1658376652 Reassigns benefits to 2 organizations
I20190807000633 MO Practitioner - Cardiac Surgery 1658376652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10012 Kennerly Rd
Suite 101
Saint Louis, MO 63128-2197
Phone (314) 880-6676

615 S New Ballas Rd Administration
Saint Louis, MO 63141-8221

625 S New Ballas Rd
R 7040
Saint Louis, MO 63141-8253
Phone (314) 251-6970

625 S New Ballas Rd
Suite R 7040
St Louis, MO 63141-8221

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Saint Louis, MO, CCN 267253
  • Mercy Home Health Home health agency, Saint Louis, MO, CCN 267565
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019821320MOMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Oct 12, 2018 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Oct 12, 2018 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jun 20, 2023 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC CurrentSince Jun 20, 2023 Accepting new patients
Northwest Florida Multispecialty Physicians LLC Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

10012 Kennerly Rd
Ste 403
Saint Louis, MO 63128
Phone (314) 525-1800

625 S New Ballas Rd
#R7040
Saint Louis, MO 63141

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

530 South St
Ste 380
Greensburg, PA 15601
Phone (724) 261-5556

233 College Ave
Ste 203
Lancaster, PA 17603
Phone (717) 396-9167

Interoperability endpoints

  • Direct secure messaging: gspeziali@direct.excelahealth.org

Organizations & group practices 9

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 3

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1245218965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 403",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-880-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 403",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-880-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEZIALI",
        "first_name": "GIOVANNI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2019821320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068457100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.