Individual provider Active NPI

Gregory B Auffenberg, M.D., M.S.

  • Urology Physician
  • Saint Louis, MO
National Provider Identifier
1396977328
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2021039448 Issued in MO
Practice address
12855 N 40 Dr Ste 350
Saint Louis, MO 63141-8669
Phone
(314) 567-6071
Fax
(314) 453-9965
NPI assigned
Aug 8, 2009
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036132771 IL
Urology Physician 208800000X 2021039448 MO Primary

Addresses

Primary practice location

12855 N 40 Dr Ste 350
Saint Louis, MO 63141-8669

Mailing address

12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071

Other practice location 1

3844 S Lindbergh Blvd Ste 125
Saint Louis, MO 63127-1416
Phone (314) 567-6071

Other practice location 2

3 Saint Elizabeth Blvd Ste 3200
O Fallon, IL 62269-1281
Phone (618) 489-8030

Other practice location 3

326 Fountains Pkwy
Fairview Heights, IL 62208-2041
Phone (618) 277-3109

Other practice location 4

112 Piper Hill Dr Ste 12
Saint Peters, MO 63376-1690
Phone (636) 996-9202

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE) Missouri Baptist Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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
I20180717000433 IL Practitioner - Urology 0941513402 Reassigns benefits to 3 organizations
I20211022000136 MO Practitioner - Urology 0941513402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Northwestern University Feinberg Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians

Practice addresses (Care Compare)

12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071

6812 State Route 162 200
Maryville, IL 62062-8562
Phone (618) 288-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection12
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Nov 1, 2021 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Urology of St. Louis, Inc. Urology CurrentSince Nov 1, 2021 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Ahs Il Medical Group LLC CurrentSince Dec 8, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 1, 2021 Accepting new patients
Urology of St. Louis, Inc. Urology Past Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

2 Saint Anthonys Way
Ste 300
Alton, IL 62002
Phone (618) 462-2226

326 Fountains Pkwy
Fairview Heights, IL 62208
Phone (618) 277-3109

2044 Madison Ave
Ste G7
Granite City, IL 62040
Phone (314) 500-2424

6812 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

3 Saint Elizabeth Blvd
Ste 3200
O Fallon, IL 62269
Phone (618) 489-8030

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

215 Dunn Rd
Florissant, MO 63031
Phone (314) 315-9911

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

12855 N 40 Dr
Ste 290
Saint Louis, MO 63141

12855 N 40 Dr
Ste 350
Saint Louis, MO 63141
Phone (314) 205-1926

12855 N 40 Dr
Ste 375
Saint Louis, MO 63141

12855 N 40 Dr
Ste 385
Saint Louis, MO 63141
Phone (314) 221-8177

12855 N 40 Dr
Ste Ll
Saint Louis, MO 63141

3844 S Lindbergh Blvd
Ste 125
Saint Louis, MO 63127
Phone (314) 733-9009

112 Piper Hill Dr
Ste 12
Saint Peters, MO 63376
Phone (314) 806-1770

Interoperability endpoints

  • Direct secure messaging: gauffenb@yourcarecommunity.org
  • Direct secure messaging: gregoryauffenberg@slus.allscriptsdirect.net

Organizations & group practices 7

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 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": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1396977328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 375",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-567-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 350",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418669",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3844 S Lindbergh Blvd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271416",
            "country_code": "US",
            "telephone_number": "314-567-6071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Saint Elizabeth Blvd Ste 3200",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691281",
            "country_code": "US",
            "telephone_number": "618-489-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 Fountains Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fairview Heights",
            "state": "IL",
            "postal_code": "622082041",
            "country_code": "US",
            "telephone_number": "618-277-3109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Piper Hill Dr Ste 12",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761690",
            "country_code": "US",
            "telephone_number": "636-996-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUFFENBERG",
        "first_name": "GREGORY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-08",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036132771",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2021039448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "Y",
            "endpointDescription": "bjc",
            "affiliationName": "Missouri Baptist Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12855 N 40 Dr Ste 375",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631418657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.