Active NPI
Cyrene D Grothaus-Day, MD
- Pediatric Anesthesiology Physician
- Fenton, MO
National Provider Identifier
1407872625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 2003019558
- Practice address
- 1378 Mosswoods Dr
Fenton, MO 63026-7226 - Phone
- (636) 861-1676
- NPI assigned
- Jul 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | 2003019558 | MO | Primary |
| Pediatric Anesthesiology Physician | 207LP3000X | 036-126419 | IL |
Addresses
Primary practice location
1378 Mosswoods Dr
Fenton, MO 63026-7226
Mailing address
335 Davis Dr
Holts Summit, MO 65043-2135
Phone (561) 320-2958
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204893622 | Medicaid | MO | |
| 036126419 | Medicaid | IL | |
| 336 | Other | MO-BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of Mo LLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Anesthesiology | Current | Accepting new patients |
| Granite Peak Anesthesiology Consultants | Anesthesiology | Past | Accepting new patients |
| Broad Midwest Anesthesia, LLC | Anesthesiology | Past | Accepting new patients |
| HSHS Medical Group Inc | Past | Accepting new patients |
Locations
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
Organizations & group practices 5
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
- Sikeston, MO
- NPI 1396116521
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1376705848
-
- Anesthesiology Physician
- Billings, MT
- NPI 1700637907
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1407872625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 DAVIS DR",
"city": "HOLTS SUMMIT",
"state": "MO",
"postal_code": "650432135",
"telephone_number": "561-320-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1378 MOSSWOODS DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630267226",
"telephone_number": "636-861-1676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTHAUS-DAY",
"first_name": "CYRENE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "MO",
"license": "2003019558",
"primary": true
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "IL",
"license": "036-126419",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204893622",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036126419",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO-BLUE SHIELD",
"identifier": "336",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.