Individual provider Active NPI

Sherry X Ma, MD, PHD

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1275649048
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
106297 Issued in MO
Practice address
2315 Dougherty Ferry Rd
Suite 207
Saint Louis, MO 63122-3383
Phone
(314) 984-8380
Fax
(314) 984-5091
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 106297 MO Primary

Addresses

Primary practice location

2315 Dougherty Ferry Rd
Suite 207
Saint Louis, MO 63122-3383

Mailing address

2315 Dougherty Ferry Rd
Suite 207
Saint Louis, MO 63122-3383
Phone (314) 984-8380

Other identifiers 8

IdentifierTypeStateIssuer
208715508MedicaidMO
190661OtherMOBLUE CROSS AND SHIELD
108428OtherMOBLUE CROSS AND SHIELD
0500157OtherMOUNITED HEALTH CARE
333473OtherMOHEALTHLINK
5868624OtherAETNA
218597OtherMOGROUP HEALTH PLAN ID
219697OtherMOGROUP HEALTH PLAN ID NUMB

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
I20041115001174 MO Practitioner - Neurology 5193788479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
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)

1055 Bowles Ave
Suite 200
Fenton, MO 63026-2308
Phone (636) 496-3900

1723 Broadway St
Suite 205
Cape Girardeau, MO 63701-4556
Phone (573) 331-7870

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
106297MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group Inc. CurrentSince Dec 9, 2025 Accepting new patients
SSM Medical Group, Inc. CurrentSince Dec 9, 2025 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Neurology Associates, Inc. Neurology Past Accepting new patients

Locations

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

1055 Bowles Ave
Ste 200
Fenton, MO 63026
Phone (636) 496-3900

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

505 Couch Ave
Ste 220
Saint Louis, MO 63122
Phone (314) 821-0778

Organizations & group practices 5

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1275649048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD",
            "address_2": "SUITE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223383",
            "telephone_number": "314-984-8380",
            "fax_number": "314-984-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 DOUGHERTY FERRY RD",
            "address_2": "SUITE 207",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223383",
            "telephone_number": "314-984-8380",
            "fax_number": "314-984-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "SHERRY",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "106297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208715508",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND SHIELD",
            "identifier": "190661",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND SHIELD",
            "identifier": "108428",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0500157",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "333473",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5868624",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN ID",
            "identifier": "218597",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN ID NUMB",
            "identifier": "219697",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.