Individual provider Active NPI

Siddharth Kaul, MD

  • Neurology Physician
  • Bridgeton, MO
National Provider Identifier
1245493402
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD221827 Issued in OR
Practice address
12266 De Paul Dr Ste 100
Bridgeton, MO 63044-2541
Phone
(314) 738-2770
NPI assigned
Jul 8, 2008
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME161484 FL
Neurology Physician 2084N0400X 2012009717 MO
Neurology Physician 2084N0400X 125-055311 IL
Neurology Physician 2084N0400X MD221827 OR Primary
Neurology Physician 2084N0400X U3562 TX
Neurology Physician 2084N0400X ME161484 FL

Addresses

Primary practice location

12266 De Paul Dr Ste 100
Bridgeton, MO 63044-2541

Mailing address

PO Box 955534
Saint Louis, MO 63195-0001

Other practice location 1

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 208-2212

Other practice location 2

12255 DePaul Drive
Suite 200
Bridgeton, MO 63044
Phone (314) 355-3355

Other practice location 3

11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212

Other practice location 4

2790 Clay Edwards Dr Ste 1235
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Other identifiers 1

IdentifierTypeStateIssuer
118132400MedicaidFL

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address skaul63659@direct-ehr-ssmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, KY, OR, WA, FL, GA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20110421000846 IL Practitioner - NeurologyPractitioner - Internal Medicine 4789869462 Reassigns benefits to 1 organization
I20120928000037 MO Practitioner - Neurology 4789869462 Reassigns benefits to 6 organizations
I20230921000675 KY Practitioner - Neurology 4789869462 Reassigns benefits to 1 organization
I20241227002245 OR Practitioner - Neurology 4789869462 Reassigns benefits to 2 organizations
I20250106000869 WA Practitioner - Neurology 4789869462 Reassigns benefits to 1 organization
I20250922002843 FL Practitioner - NeurologyPractitioner - Hospitalist 4789869462 Reassigns benefits to 1 organization
I20251112003432 GA Practitioner - Neurology 4789869462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telespecialists North Carolina Neurology Services PLLCGroup PAC ID 7719348978, 28 clinicians
Virtual Neurology Texas PLLCGroup PAC ID 3779910047, 151 clinicians
Virtual Neurology LLCGroup PAC ID 9830425321, 161 clinicians
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

Saint Louis, MO 63141
Phone (239) 208-2212

11284 Elsie Manor CT
Saint Louis, MO 63141-7600
Phone (239) 208-2212

12266 De Paul Dr
Suite 100
Bridgeton, MO 63044-2541
Phone (314) 738-2770

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

2133 Vadalabene Dr
Suite 6
Maryville, IL 62062-5839
Phone (314) 738-2770

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone (270) 706-5275

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-055311ILMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtual Neurology, LLC Neurology CurrentSince Jun 1, 2023 Accepting new patients
Virtual Neurology PC Neurology CurrentSince Aug 19, 2025 Accepting new patients
SSM Medical Group, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2025 Accepting new patients
Meritas Health Corporation Neurology CurrentSince Sep 11, 2023 Accepting new patients
Baptist Health Medical Group Inc Neurology Current Accepting new patients
Silverton Health Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
Legacy Salmon Creek Hospital Hospitalist CurrentSince Dec 4, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2023 Accepting new patients
Lee Health System Inc CurrentSince Nov 1, 2025 Accepting new patients
Piedmont Hospitalist Physicians LLC Hospitalist CurrentSince Dec 29, 2025 Accepting new patients
SSM Medical Group Inc. CurrentSince Aug 1, 2018 Accepting new patients
Silverton Health CurrentSince Dec 4, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Dec 4, 2024 Accepting new patients
Legacy Clinics LLC Hospitalist CurrentSince Dec 4, 2024 Accepting new patients
Silverton Health Hospitalist CurrentSince Dec 4, 2024 Accepting new patients
Telespecialists North Carolina Neurology Services PLLC Neurology CurrentSince Jun 29, 2024 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Neurology CurrentSince Sep 11, 2023 Accepting new patients
Piedmont Athens Hospitalist Physicians LLC CurrentSince Dec 29, 2025 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Virtualhealthconnect LLC Neurology Past Accepting new patients
Memorial Expresscare, LLC Past Accepting new patients
Piedmont Athens Specialty Care LLC Past Accepting new patients
Midwest Emergency Department Specialists LTD Past Accepting new patients
SSM Depaul Medical Group, Inc. Past Accepting new patients

Locations (25 of 29)

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

9110 College Pointe Ct
Fort Myers, FL 33919
Phone (239) 208-2206

11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206

11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

2133 Vadalabene Dr
Ste 6
Maryville, IL 62062
Phone (314) 738-2770

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044

12266 De Paul Dr
Ste 100
Bridgeton, MO 63044
Phone (314) 738-2770

14021 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 839-0910

9151 NE 81st Ter
Ste 220
Kansas City, MO 64158
Phone (816) 453-4000

2790 Clay Edwards Dr
#1235
North Kansas City, MO 64116
Phone (816) 472-5157

2790 Clay Edwards Dr
Ste 1235
North Kansas City, MO 64116
Phone (816) 472-5157

1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268

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

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: skaul63659@direct-ehr-ssmhc.com

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 6

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1245493402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631950001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12266 DE PAUL DR STE 100",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442541",
            "telephone_number": "314-738-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9981 S Healthpark Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083618",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "fax_number": "239-935-5067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12255 DePaul Drive",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "63044",
            "country_code": "US",
            "telephone_number": "314-355-3355",
            "fax_number": "314-355-6584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11215 Metro Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339661206",
            "country_code": "US",
            "telephone_number": "239-208-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2790 Clay Edwards Dr Ste 1235",
            "address_purpose": "LOCATION",
            "city": "North Kansas City",
            "state": "MO",
            "postal_code": "641163276",
            "country_code": "US",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUL",
        "first_name": "SIDDHARTH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME161484",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2012009717",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "125-055311",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD221827",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "U3562",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME161484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118132400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "12266 De Paul Dr Ste 100",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skaul63659@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "skaul63659@direct-ehr-ssmhc.com",
            "address_1": "12266 De Paul Dr Ste 100",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.