Active NPI
Naomi Wahl, M.D.
- Maternal & Fetal Medicine Physician
- Cape Girardeau, MO
National Provider Identifier
1366414971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 2012016003
- Practice address
- 211 Saint Francis Dr
Cape Girardeau, MO 63703-5049 - Phone
- (573) 331-5511
- Fax
- (573) 331-5512
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 2012016003 | MO | Primary |
Addresses
Primary practice location
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Mailing address
PO Box 801143
Kansas City, MO 64180-1143
Phone (573) 331-5583
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361R1WA | Other | MN | BLUE CROSS |
| 361R1WA | Other | MN | CC SYSTEMS/BLUE PLUS |
| HP24640 | Other | SD | HEALTHPARTNERS |
| 0503706 | Medicaid | IA | |
| 4260 | Other | SD | DAKOTACARE |
| 4995764 | Other | SD | BLUE CROSS |
| 6630360 | Medicaid | SD | |
| 1366414971 | Medicaid | MO | |
| 10025040700 | Medicaid | NE | |
| 57105AD02 | Other | SD | WPS TRICARE |
| 939216500 | Medicaid | MN | |
| 283761017548 | Other | SD | PREFERRED ONE |
| 768489 | Other | SD | ARAZ/ AMERICA'S PPO |
| 0703687 | Other | SD | MEDICA |
| 23737 | Other | SD | MIDLANDS CHOICE |
| 25421 | Other | SD | SANFORD HEALTH PLAN |
| 38022 | Other | IA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 67.07 of 100
- Quality
- 85.4
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4260 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients |
Locations
211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Cape Girardeau, MO
- NPI 1356304489
-
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
- Critical Access Hospital
- Gregory, SD
- NPI 1275562027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614211200000",
"number": "1366414971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801143",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641801143",
"telephone_number": "573-331-5583",
"fax_number": "573-331-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SAINT FRANCIS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035049",
"telephone_number": "573-331-5511",
"fax_number": "573-331-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHL",
"first_name": "NAOMI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MO",
"license": "2012016003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "361R1WA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CC SYSTEMS/BLUE PLUS",
"identifier": "361R1WA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP24640",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0503706",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "4260",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4995764",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6630360",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366414971",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025040700",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS TRICARE",
"identifier": "57105AD02",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "939216500",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "283761017548",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ/ AMERICA'S PPO",
"identifier": "768489",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0703687",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "23737",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANFORD HEALTH PLAN",
"identifier": "25421",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "38022",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.