Individual provider Active NPI

Sarah B Shores

  • Obstetrics & Gynecology Physician
  • St Louis, MO
National Provider Identifier
1356424485
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
109633 Issued in MO
Practice address
621 S New Ballas Rd
Ste 101a
St Louis, MO 63141
Phone
(314) 569-2751
Fax
(314) 997-0211
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 109633 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd
Ste 101a
St Louis, MO 63141

Mailing address

12639 Old Tesson Rd
Saint Louis, MO 63128-2786
Phone (314) 849-0311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah.shores@digichart.direct-ci.com

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
I20070201000121 MO Practitioner - Obstetrics/Gynecology 8022904119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, shared by 6 NPIs, 573 clinicians

Practice addresses (Care Compare)

107 Piper Hill Dr
Suite 150
Saint Peters, MO 63376-2403
Phone (636) 317-4825

621 S New Ballas Rd
Suite 101a
Saint Louis, MO 63141-8252
Phone (314) 569-2751

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
109633MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Apr 1, 2020 Accepting new patients
Mercy Clinic East Communities Obstetrics & Gynecology Current Accepting new patients
Mercy Clinic East Communities Obstetrics & Gynecology CurrentSince Apr 1, 2020 Accepting new patients
Mercy Clinic East Communities CurrentSince Jan 3, 2022 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Allied Associates in OB GYN Inc Obstetrics & Gynecology PastSince Oct 1, 2007 Accepting new patients
Associates in OB/GYN Obstetrics & Gynecology PastSince Sep 27, 1995 Accepting new patients
Mercy Clinic Gastroenterology, LLC Past Accepting new patients

Locations

621 S New Ballas Rd
Ste 1017B
Saint Louis, MO 63141
Phone (314) 292-7080

621 S New Ballas Rd
Ste 101A
Saint Louis, MO 63141
Phone (314) 569-2751

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

107 Piper Hill Dr
Ste 150
Saint Peters, MO 63376
Phone (314) 251-8966

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Interoperability endpoints

  • Direct secure messaging: sshores99501@directc.mercy.net

Organizations & group practices 8

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 4

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1356424485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "STE 101A",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-569-2751",
            "fax_number": "314-997-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORES",
        "first_name": "SARAH",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "109633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.shores@digichart.direct-ci.com",
            "affiliation": "N",
            "address_1": "621 S New Ballas Rd",
            "address_2": "Ste 101A",
            "city": "St Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

Verify at the official NPI Registry.