Active NPI
Siddharth Kaul, MD
- Neurology Physician
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD221827
- 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, 2026
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118132400 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125-055311 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtual Neurology, LLC | Neurology | Current | Accepting new patients |
| Virtual Neurology PC | Neurology | Current | Accepting new patients |
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Meritas Health Corporation | Neurology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Neurology | Current | Accepting new patients |
| Silverton Health | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Hospitalist | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Hospitalist | Current | Accepting new patients |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Clinics LLC | Hospitalist | Current | Accepting new patients |
| Silverton Health | Hospitalist | Current | Accepting new patients |
| Telespecialists North Carolina Neurology Services PLLC | Neurology | Current | Accepting new patients |
| Meritas Health Corporation | Current | Accepting new patients | |
| Meritas Health Corporation | Neurology | Current | Accepting new patients |
| Piedmont Athens Hospitalist Physicians LLC | Current | 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
- 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.
-
dba SSM Health Medical Group
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
IL
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
Hospitalist
-
- Neurology Physician
- Fort Myers, FL
- NPI 1245926138
MO
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Hospitalist
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578079000
-
dba Legacy Silverton Medical Center
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St. Joseph Hospital - St. Charles
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
dba SSM Health DePaul Hospital - St. Louis
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
dba SSM Health St. Clare Hospital - Fenton
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
dba SSM Health St Joseph Hospital - Lake Saint Louis
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.