Active NPI
Kyle C Niziolek, MD
- Critical Care Medicine (Internal Medicine) Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 2023014539
- Practice address
- 1 Barnes Jewish Hospital PLZ
Dept Anesthesiology
Saint Louis, MO 63110-1003 - Phone
- (800) 862-9980
- Fax
- (314) 362-1185
- NPI assigned
- Apr 8, 2012
- Last updated
- Apr 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2023014539 | MO | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2023014539 | MO | Primary |
Addresses
Primary practice location
1 Barnes Jewish Hospital PLZ
Dept Anesthesiology
Saint Louis, MO 63110-1003
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (800) 862-9980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200123380 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
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
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Georgetown University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington University
Practice addresses (Care Compare)
1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 747-3000
1404 Cross St
Shiloh, IL 62269-2988
Phone (314) 747-1171
400 S Kingshighway Blvd
Saint Louis, MO 63110-1014
Phone (314) 454-7900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023014539 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| CMC Department of Medicine Group PA | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc. | Current | Accepting new patients | |
| CMC Department of Medicine Group PA | Critical Care Medicine | Current | Accepting new patients |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Atlanticare Physician Group | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients |
Locations
4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750
1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000
1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170
1 Barnes Hsp Plz
Saint Louis, MO 63110
Phone (314) 273-4966
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
400 S Kingshighway Blvd
#F
Saint Louis, MO 63110
Phone (314) 454-7900
660 S Euclid Ave
#8054
Saint Louis, MO 63110
Phone (314) 286-1045
30 N Pearl St
Bridgeton, NJ 08302
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- O'Fallon, IL
- NPI 1477076263
-
- Emergency Care Clinic/Center
- Saint Louis, MO
- NPI 1104866656
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1528005642
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1457203135
-
dba AtlantiCare Urgent Care
- Clinical Social Worker
- Egg Harbor Township, NJ
- NPI 1881618494
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
dba AtlantiCare Urgent Care
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
- Specialist
- Camden, NJ
- NPI 1386682094
-
- Critical Care Medicine (Internal Medicine) Physician
- Camden, NJ
- NPI 1679605554
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
dba Christian Hospital
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Hospital
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1427314095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNES JEWISH HOSPITAL PLZ",
"address_2": "DEPT ANESTHESIOLOGY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101003",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIZIOLEK",
"first_name": "KYLE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-08",
"last_updated": "2025-04-17",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2023014539",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "2023014539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200123380",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1 Barnes Jewish Hospital Plz",
"address_2": "Dept Anesthesiology",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.
- 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.