Active NPI
Robert A. Duerr, M.D.
- Orthopaedic Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2022029695
- Practice address
- 12700 Southfork Rd Ste 10
Saint Louis, MO 63128-3206 - Phone
- (314) 543-5284
- NPI assigned
- Aug 28, 2012
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2022029695 | MO | Primary |
Addresses
Primary practice location
12700 Southfork Rd Ste 10
Saint Louis, MO 63128-3206
Mailing address
12700 Southfork Rd Ste 10
Saint Louis, MO 63128-3206
Phone (314) 543-5284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0308899 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rduerr648725@direct.osumc.edu |
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
- Orthopedic Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12700 Southfork Rd
Suite 100
Saint Louis, MO 63128-3201
Phone (314) 543-5284
15425 Manchester Rd
Ballwin, MO 63011-3077
Phone (636) 220-6969
Hospital & facility affiliations
- Mercy Hospital South
- Mercy Hospital St Louis
- SSM Health Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 13 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 40 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022029695 | MO | MD | Orthopaedic 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
12700 Southfork Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 251-3500
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
Interoperability endpoints
- rduerr648725@direct.osumc.edu
Organizations & group practices 3
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
-
- Rehabilitation Clinic/Center
- Ballwin, MO
- NPI 1942524087
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
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 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1447508189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD STE 10",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283206",
"telephone_number": "314-543-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD STE 10",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283206",
"telephone_number": "314-543-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUERR",
"first_name": "ROBERT",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-28",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2022029695",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0308899",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rduerr648725@direct.osumc.edu",
"affiliation": "N",
"address_1": "2835 Fred Taylor Dr",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432021552",
"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 Aug 2, 2022; 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.