Active NPI
Mark Anatoly Rivkin, D.O.
- Neurological Surgery Physician
- Festus, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 2014038760
- Practice address
- 1400 US Highway 61
Festus, MO 63028-4100 - Phone
- (636) 933-1000
- NPI assigned
- Apr 5, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 2014038760 | MO | Primary |
Addresses
Primary practice location
1400 US Highway 61
Festus, MO 63028-4100
Mailing address
PO Box 955534
Saint Louis, MO 63195-5534
Other practice location 1
1390 US Highway 61 Ste N1500
Festus, MO 63028-4137
Phone (636) 717-6720
Other practice location 2
10012 Kennerly Rd Ste 400
Saint Louis, MO 63128-2197
Phone (314) 543-5999
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mrivkin147282@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Kansas City College of Medicine and Surgery, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ste Genevieve County Memorial Hospital
Practice addresses (Care Compare)
10012 Kennerly Rd
Saint Louis, MO 63128-2197
10050 Kennerly Rd
Suite 25200
Saint Louis, MO 63128-2106
Phone (314) 525-4440
1390 US Hwy 61
Suite N1500
Festus, MO 63028-4137
Phone (636) 717-6720
255 Boderman
Bloomsdale, MO 63627-9099
Phone (573) 483-9492
621 S New Ballas Rd
Suite 3005B
Saint Louis, MO 63141-8266
Phone (314) 567-5850
851 E 5TH St
Suite 108
Washington, MO 63090-3128
Phone (636) 861-7870
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 125 |
| Laminectomy or laminotomy (partial removal of spine bones) | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014038760 | MO | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Surgical Specialists, LLC | Current | Accepting new patients | |
| Mercy Clinic East Communities | Past | Accepting new patients |
Locations
3619 Richardson Square Dr
Ste 170
Arnold, MO 63010
Phone (636) 717-6776
1390 US Highway 61
Ste N1500
Crystal Cty, MO 63028
Phone (636) 933-5055
10012 Kennerly Rd
Ste 400
Saint Louis, MO 63128
Phone (314) 525-1258
621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070
851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144
Organizations & group practices 4
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.
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1043530538
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
-
dba Bloomsdale Family Health Care
- Rural Health Clinic/Center
- Bloomsdale, MO
- NPI 1184658387
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- Critical Access Hospital
- Perryville, MO
- NPI 1063117158
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1427373265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955534",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631955534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 US HIGHWAY 61",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284100",
"telephone_number": "636-933-1000"
}
],
"practiceLocations": [
{
"address_1": "1390 US Highway 61 Ste N1500",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630284137",
"country_code": "US",
"telephone_number": "636-717-6720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10012 Kennerly Rd Ste 400",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282197",
"country_code": "US",
"telephone_number": "314-543-5999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVKIN",
"first_name": "MARK",
"middle_name": "ANATOLY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MO",
"license": "2014038760",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrivkin147282@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mrivkin147282@direct-ehr-ssmhc.com",
"address_1": "1055 Bowles Ave",
"address_2": "Suite 200",
"city": "Fenton",
"state": "MO",
"country_code": "US",
"postal_code": "630262308",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1055 Bowles Ave",
"address_2": "Suite 200",
"city": "Fenton",
"state": "MO",
"country_code": "US",
"postal_code": "630262308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.