Active NPI
George Mekhjian, MD
- Emergency Medicine Physician
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2006024364
- Practice address
- 10 Hospital Dr
Saint Peters, MO 63376-1659 - Phone
- (636) 916-9000
- Fax
- (314) 317-0606
- NPI assigned
- May 26, 2006
- Last updated
- Jan 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2006024364 | MO | Primary |
| Internal Medicine Physician | 207R00000X | 2006024364 | MO | |
| Hospitalist Physician | 208M00000X | 2006024364 | MO |
Addresses
Primary practice location
10 Hospital Dr
Saint Peters, MO 63376-1659
Mailing address
12125 Woodcrest Executive Dr
Suite 220
Saint Louis, MO 63141-5001
Phone (314) 317-0600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407802812 | Medicaid | MO | |
| 036115694 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2100 Madison Ave
Granite City, IL 62040-4713
Phone (618) 798-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55348 | CA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Physicians of Illinois, LLC | Internal Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Ahs Il Medical Group LLC | Current | Accepting new patients | |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cogent Healthcare of Missouri, Inc | Current | Accepting new patients | |
| Ies HSP Missouri LLC | Hospitalist | Current | Accepting new patients |
| St Alexius Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000
2100 Madison Ave
Ste 301
Granite City, IL 62040
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
Interoperability endpoints
- gmekhj01@yourcarecommunity.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Granite City, IL
- NPI 1659098101
-
- Critical Care Medicine (Internal Medicine) Physician
- Fenton, MO
- NPI 1780961599
-
- Hospitalist Physician
- West Plains, MO
- NPI 1962102871
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
Internal Medicine
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1477108892
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1578796157
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Granite City, IL
- NPI 1326765884
-
dba Gateway Urgent Care
- Urgent Care Clinic/Center
- Glen Carbon, IL
- NPI 1700586344
Hospital
-
dba Edwardsville Health Center
- Clinic/Center
- Edwardsville, IL
- NPI 1760182307
Hospital
-
dba Gateway Imaging: Waterloo
- Clinic/Center
- Waterloo, IL
- NPI 1770283301
Hospital
-
dba Gateway Urgent Care
- Urgent Care Clinic/Center
- Columbia, IL
- NPI 1982304523
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1407802812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12125 WOODCREST EXECUTIVE DR",
"address_2": "SUITE 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631415001",
"telephone_number": "314-317-0600",
"fax_number": "314-317-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HOSPITAL DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761659",
"telephone_number": "636-916-9000",
"fax_number": "314-317-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEKHJIAN",
"first_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2006024364",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2006024364",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2006024364",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407802812",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036115694",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.