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SSM Health Care Group

Organization Active NPI Internal Medicine Physician · Saint Louis, MO

NPI 1306589544 · NPPES record last updated Jan 7, 2026

Key facts

NPI
1306589544
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
SSM HEALTH CARE GROUP
Practice address
1225 South Grand Blvd
2L - Door 3,4
Saint Louis, MO 63104-1016
Phone
(314) 977-6100
NPI assigned
Apr 15, 2022
Organization subpart
No

Authorized official

Name
Karen Rewerts
Title
Vice President - Finance
Phone
(557) 203-3614

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 1,371

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,371

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MO, IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220531002655 MO Part B Supplier - Clinic/Group Practice 0143608372 Receives reassigned benefits from 1,339 practitioners
O20220606001320 IL Part B Supplier - Clinic/Group Practice 0143608372 Receives reassigned benefits from 39 practitioners
Practice locations: Alton, IL; Centralia, IL; Glen Carbon, IL; Maryville, IL; Mount Vernon, IL

National Provider Directory

Locations

1225 S Grand Blvd
#4
Saint Louis, MO 63104
Phone (314) 577-8007

3545 Lafayette Ave
Ste 1200
Saint Louis, MO 63104
Phone (314) 977-5337

7980 Clayton Rd
Ste 211
Saint Louis, MO 63117

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207L00000X
Dermatology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207N00000X
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X Yes
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207W00000X
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X
Otolaryngology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Y00000X
Anatomic Pathology & Clinical Pathology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207ZP0102X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084N0400X
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084P0800X
Radiation Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0001X
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0202X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X

Addresses

Primary practice location

1225 South Grand Blvd
2L - Door 3,4
Saint Louis, MO 63104-1016

Mailing address

PO Box 954467
Saint Louis, MO 63195-4467
Phone (314) 617-3508

Other names

  • SLUCare Physician Group Doing business as

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Internal Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.