Individual provider Active NPI

Stephanie M Gabathuler, M.D.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Alton, IL
National Provider Identifier
1457647927
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
036146284 Issued in IL
Practice address
1 Professional Dr
Alton, IL 62002-5068
Phone
(314) 996-4545
Fax
(314) 273-0140
NPI assigned
Jun 23, 2011
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036146284 IL
Hospitalist Physician 208M00000X 036-146284 IL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 2023035677 MO
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 036146284 IL Primary

Addresses

Primary practice location

1 Professional Dr
Alton, IL 62002-5068

Mailing address

PO Box 959203
Saint Louis, MO 63195-9203
Phone (314) 996-4545

Other practice location 1

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 257-6220

Other practice location 2

1475 Kisker Rd Ste 200
Saint Charles, MO 63304-8788
Phone (636) 695-0326

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180924003685 IL Practitioner - Family Practice 0941458541 Reassigns benefits to 1 organization
I20231025002710 MO Practitioner - Hospice/Palliative CarePractitioner - Family Practice 0941458541 Reassigns benefits to 2 organizations
I20260511000024 IL Practitioner - Hospice/Palliative Care 0941458541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

1 Professional Dr
Alton, IL 62002-5068
Phone (314) 996-4545

3009 N Ballas Rd
Suite 383C
Saint Louis, MO 63131-2324
Phone (314) 305-1447

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036146284ILMDFamily Medicine Physician
036-146284ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Aug 1, 2018 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Aug 1, 2018 Accepting new patients
Visiting Nurse Association of Greater St. Louis Hospice and Palliative Medicine CurrentSince Sep 24, 2023 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1 Professional Dr
Alton, IL 62002
Phone (618) 463-8660

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

2029 Woodland Pkwy
Ste 105
Saint Louis, MO 63146
Phone (314) 918-7171

3009 N Ballas Rd
Ste 383C
Saint Louis, MO 63131
Phone (314) 305-1447

Interoperability endpoints

  • Direct secure messaging: sgabathuler528474@direct-ehr-ssmhc.com
  • Direct secure messaging: stephanie.gabathuler@uhci.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1457647927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959203",
            "telephone_number": "314-996-4545",
            "fax_number": "314-273-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025068",
            "telephone_number": "314-996-4545",
            "fax_number": "314-273-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "62226",
            "country_code": "US",
            "telephone_number": "618-257-6220",
            "fax_number": "618-257-6679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Kisker Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633048788",
            "country_code": "US",
            "telephone_number": "636-695-0326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABATHULER",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036146284",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036-146284",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "2023035677",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "036146284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Professional Dr",
            "city": "Alton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620025068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.