Individual provider Active NPI

Richard A Geisman, M.D.

  • Gastroenterology Physician
  • Saint Peters, MO
National Provider Identifier
1265430516
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R8E89 Issued in MO
Practice address
201 BJC Saint Peters Dr
Suite 100
Saint Peters, MO 63376-3091
Phone
(636) 916-8200
Fax
(636) 947-4246
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X R8E89 MO Primary

Addresses

Primary practice location

201 BJC Saint Peters Dr
Suite 100
Saint Peters, MO 63376-3091

Mailing address

201 BJC Saint Peters Dr
Suite 100
Saint Peters, MO 63376-3091
Phone (636) 916-8200

Other identifiers 1

IdentifierTypeStateIssuer
202387114MedicaidMO

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
I20100118000233 MO Practitioner - Gastroenterology 1355232257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Tulane University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

400 1St Capitol Dr
Suite 201
Saint Charles, MO 63301-2882
Phone (636) 669-2332

Hospital & facility affiliations

  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200
  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy189
Upper gastrointestinal (GI) endoscopy for acid reflux158

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. Gastroenterology CurrentSince Aug 2, 2024 Accepting new patients
SSM Medical Group Inc. CurrentSince Aug 2, 2024 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

400 1st Capitol Dr
Ste 201
Saint Charles, MO 63301
Phone (636) 379-6363

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

Interoperability endpoints

  • Direct secure messaging: rgeisman22427@direct-ehr-ssmhc.com
  • Direct secure messaging: rgeisman135077@direct.carenet.org

Organizations & group practices 3

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 5

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1265430516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BJC SAINT PETERS DR",
            "address_2": "SUITE 100",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763091",
            "telephone_number": "636-916-8200",
            "fax_number": "636-947-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BJC SAINT PETERS DR",
            "address_2": "SUITE 100",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763091",
            "telephone_number": "636-916-8200",
            "fax_number": "636-947-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISMAN",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "R8E89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202387114",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.