Active NPI
Siroth Charnond, M.D.
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036.150546
- Practice address
- 3451 Union Blvd
Saint Louis, MO 63115-1142 - Phone
- (314) 888-0970
- Fax
- (314) 408-7063
- NPI assigned
- Oct 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 108377 | MO | |
| Internal Medicine Physician | 207R00000X | 036.150546 | IL | Primary |
Addresses
Primary practice location
3451 Union Blvd
Saint Louis, MO 63115-1142
Mailing address
PO Box 746715
Atlanta, GA 30374-6715
Phone (314) 888-0970
Other practice location 1
7421 S Outer 364
Dardenne Prairie, MO 63368-7014
Phone (636) 561-8100
Other practice location 2
8033 W Florissant Ave Ste A
Jennings, MO 63136-1412
Phone (314) 888-0971
Other practice location 3
3863A Gravois Ave
Saint Louis, MO 63116-4657
Phone (314) 888-0981
Other practice location 4
16659 E 23rd St S
Independence, MO 64055-1922
Phone (816) 688-6000
Other practice location 5
2420 State St
East Saint Louis, IL 62205-2321
Phone (618) 318-8809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Missouri, Kansas City, School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8033 W Florissant Ave a
Oak Street Health Jennings
Jennings, MO 63136-1412
Phone (314) 888-0971
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.150546 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health Physicians Group of Missouri, LLC | Internal Medicine | Current | Accepting new patients |
| Osh-Il Physicians Group LLC | Internal Medicine | Current | Accepting new patients |
| Crestview Medical Associates, LLC | Internal Medicine | Past | Accepting new patients |
| Oak Street Health Physicians Group, PC | Internal Medicine | Past | Accepting new patients |
Locations
2420 State St
East Saint Louis, IL 62205
Phone (618) 318-8809
16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000
3451 Union Blvd
Saint Louis, MO 63115
Phone (314) 390-9890
3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981
8033 West Florissant Ave
Ste A
Saint Louis, MO 63136
Phone (314) 888-0971
Interoperability endpoints
- sirothcharnond@ihadv.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Saint Louis, MO
- NPI 1669041760
Internal Medicine
-
- Primary Care Clinic/Center
- East Saint Louis, IL
- NPI 1265977698
Internal Medicine
-
- Internal Medicine Physician
- Lake St Louis, MO
- NPI 1750351581
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
dba Christian Hospital
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Hospital
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1265421218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746715",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746715",
"telephone_number": "314-888-0970",
"fax_number": "314-408-7063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 UNION BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631151142",
"telephone_number": "314-888-0970",
"fax_number": "314-408-7063"
}
],
"practiceLocations": [
{
"address_1": "7421 S OUTER 364",
"address_purpose": "LOCATION",
"city": "DARDENNE PRAIRIE",
"state": "MO",
"postal_code": "633687014",
"country_code": "US",
"telephone_number": "636-561-8100",
"fax_number": "636-561-3396",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8033 W Florissant Ave Ste A",
"address_purpose": "LOCATION",
"city": "Jennings",
"state": "MO",
"postal_code": "631361412",
"country_code": "US",
"telephone_number": "314-888-0971",
"fax_number": "314-408-7062",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3863A Gravois Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631164657",
"country_code": "US",
"telephone_number": "314-888-0981",
"fax_number": "314-442-7794",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16659 E 23rd St S",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640551922",
"country_code": "US",
"telephone_number": "816-688-6000",
"fax_number": "816-631-1885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2420 State St",
"address_purpose": "LOCATION",
"city": "East Saint Louis",
"state": "IL",
"postal_code": "622052321",
"country_code": "US",
"telephone_number": "618-318-8809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARNOND",
"first_name": "SIROTH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "108377",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.150546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.