Active NPI
Simisolaoluwa Ademide Popoola, MD
- Student in an Organized Health Care Education/Training Program
- Saint Louis, MO
National Provider Identifier
1447140074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 6420 Clayton Rd
Dept of Internal Medicine 2ND Floor
St Louis, MO 63117 - Phone
- (314) 768-8778
- Fax
- (314) 768-7101
- NPI assigned
- Jul 7, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
6420 Clayton Rd
Dept of Internal Medicine 2ND Floor
St Louis, MO 63117
Mailing address
6420 Clayton Rd
Dept of Internal Medicine 2ND Floor
St Louis, MO 63117
Phone (314) 768-8778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1447140074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 CLAYTON RD",
"address_2": "DEPT OF INTERNAL MEDICINE 2ND FLOOR",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63117",
"telephone_number": "314-768-8778",
"fax_number": "314-768-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 CLAYTON RD",
"address_2": "DEPT OF INTERNAL MEDICINE 2ND FLOOR",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63117",
"telephone_number": "314-768-8778",
"fax_number": "314-768-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOOLA",
"first_name": "SIMISOLAOLUWA",
"middle_name": "ADEMIDE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.