Individual provider Active NPI

Andre Strzembosz, MD

  • Diagnostic Radiology Physician
  • Bridgeton, MO
National Provider Identifier
1316954373
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R9F79 Issued in MO
Practice address
12303 De Paul Dr
Depaul Health Center
Bridgeton, MO 63044-2512
Phone
(314) 344-6350
NPI assigned
Aug 2, 2006
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036081954 IL
Diagnostic Radiology Physician 2085R0202X R9F79 MO Primary

Addresses

Primary practice location

12303 De Paul Dr
Depaul Health Center
Bridgeton, MO 63044-2512

Mailing address

502 Earth City Plaza Expressway
Suite 121
Earth City, MO 63045
Phone (314) 770-2133

Other identifiers 1

IdentifierTypeStateIssuer
203339007MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061207000239 MO Practitioner - General SurgeryPractitioner - Diagnostic Radiology 0446259238 Reassigns benefits to 3 organizations
I20221115003392 IL Practitioner - General SurgeryPractitioner - Diagnostic Radiology 0446259238 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Diagnostic Radiology
Education
Washington University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ernst Radiology Clinic IncGroup PAC ID 2264829639, 16 clinicians
Ernst Radiology Clinic, IncGroup PAC ID 2961488366, 20 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600

1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Ernst Radiology Clinic, Inc Diagnostic Radiology CurrentSince Jan 1, 1992 Accepting new patients
USA Radiology Management Solutions LLC Diagnostic Radiology CurrentSince Oct 6, 2019 Accepting new patients
Ernst Radiology Clinic, Inc Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 14, 2025 Accepting new patients
SSM Depaul Medical Group, Inc. Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

12255 De Paul Dr
Ste 737
Bridgeton, MO 63044

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

16091 Swingley Ridge Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 728-2222

502 Earth City Plz
Ste 121
Earth City, MO 63045

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

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

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

Interoperability endpoints

  • Direct secure messaging: astrzembosz2770@direct-ehr-ssmhc.com

Organizations & group practices 6

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.

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1316954373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 EARTH CITY PLAZA EXPRESSWAY",
            "address_2": "SUITE 121",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "63045",
            "telephone_number": "314-770-2133",
            "fax_number": "314-770-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DE PAUL DR",
            "address_2": "DEPAUL HEALTH CENTER",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "314-344-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRZEMBOSZ",
        "first_name": "ANDRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036081954",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R9F79",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203339007",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.