Individual provider Active NPI

Craig S Siegel, MD

  • Hematology & Oncology Physician
  • Festus, MO
National Provider Identifier
1295812733
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2004012584 Issued in MO
Practice address
1350 US Highway 61
Festus, MO 63028-4124
Phone
(636) 931-3655
Fax
(636) 933-0293
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2004012584 MO
Hematology & Oncology Physician 207RH0003X 33191 OK
Hematology & Oncology Physician 207RH0003X G77126 MO
Hematology & Oncology Physician 207RH0003X 2004012584 MO Primary

Addresses

Primary practice location

1350 US Highway 61
Festus, MO 63028-4124

Mailing address

1350 US Highway 61
Festus, MO 63028-4124
Phone (636) 931-3655

Other practice location 1

620 Maple Valley Dr
Farmington, MO 63640-1976
Phone (636) 931-3655

Other practice location 2

1420 US Highway 61
Festus, MO 63028-4108
Phone (636) 931-3655

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
I20040901001047 MO Practitioner - Internal Medicine 3870568876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oncology LLCGroup PAC ID 1153446471, 30 clinicians

Practice addresses (Care Compare)

1350 US Hwy 61
Festus, MO 63028-4124
Phone (636) 390-1600

550 Maple Valley Dr
Farmington, MO 63640-1981
Phone (636) 931-3655

607 S New Ballas Rd
Saint Louis, MO 63141-8219
Phone (314) 251-4400

901 Patients 1St Dr
Washington, MO 63090-4700
Phone (636) 390-1600

Hospital & facility affiliations

  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • Parkland Health Center Hospital, Farmington, MO, CCN 260163
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Iron County Medical Center Hospital, Pilot Knob, MO, CCN 261336
  • Washington County Memorial Hospital Hospital, Potosi, MO, CCN 261308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004012584MOMDHematology & Oncology Physician
G77126MOMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oncology, LLC Hematology & Oncology CurrentSince Jan 10, 2018 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Mercy Hospital Jefferson Past Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

1350 US Highway 61
Crystal Cty, MO 63028
Phone (636) 931-3655

1420 US Highway 61
Crystal Cty, MO 63028
Phone (636) 543-2230

620 Maple Valley Dr
Farmington, MO 63640
Phone (573) 454-2466

550 Maple Valley Dr
Farmington, MO 63640
Phone (573) 454-2466

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

607 S New Ballas Rd
Ste 33
Saint Louis, MO 63141
Phone (314) 251-4400

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

615 S New Ballas Rd
#C
Saint Louis, MO 63141
Phone (314) 569-6000

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • Direct secure messaging: csiegel76873@directc.mercy.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 and National Provider Directory roles.

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295812733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284124",
            "telephone_number": "636-931-3655",
            "fax_number": "636-933-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 US HIGHWAY 61",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284124",
            "telephone_number": "636-931-3655",
            "fax_number": "636-933-0293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Maple Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401976",
            "country_code": "US",
            "telephone_number": "636-931-3655",
            "fax_number": "636-933-0293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 US Highway 61",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284108",
            "country_code": "US",
            "telephone_number": "636-931-3655",
            "fax_number": "636-933-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "CRAIG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004012584",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "33191",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "G77126",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2004012584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.