Individual provider Active NPI

Henry Purcell, M.D.

  • Nephrology Physician
  • Maryville, IL
National Provider Identifier
1467530410
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R9H62 Issued in MO
Practice address
6812 State Route 162 Ste 121
Maryville, IL 62062-8586
Phone
(618) 391-6910
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X R9H62 MO Primary

Addresses

Primary practice location

6812 State Route 162 Ste 121
Maryville, IL 62062-8586

Mailing address

PO Box 797021
Saint Louis, MO 63179-7000
Phone (314) 644-3535

Other identifiers 1

IdentifierTypeStateIssuer
110165961OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071215000117 IL Practitioner - Nephrology 3375450257 Reassigns benefits to 2 organizations
I20080110000671 MO Practitioner - Nephrology 3375450257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Saint Louis University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

1011 Bowles Ave
Suite 6 10
Fenton, MO 63026-2395
Phone (314) 644-3535

6800 State Route 162
Maryville, IL 62062-8500
Phone 6182885711402

6810 State Route 162
Maryville, IL 62062-8501
Phone (618) 288-5711

6812 State Route 162
Suite 121
Maryville, IL 62062-8586
Phone (314) 644-3535

Hospital & facility affiliations

  • DaVita Maryville Dialysis Dialysis facility, Maryville, IL, CCN 142634
  • DaVita Maryville Home Dialysis Dialysis facility, Maryville, IL, CCN 142686
  • DaVita Shrewsbury Dialysis Dialysis facility, Saint Louis, MO, CCN 262572
  • DaVita Collinsville Dialysis Dialysis facility, Collinsville, IL, CCN 142822
  • DaVita St. Louis Dialysis Center Dialysis facility, Saint Louis, MO, CCN 262503
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Community Hospital of Staunton Hospital, Staunton, IL, CCN 141306
  • St Joseph'S Hospital Hospital, Highland, IL, CCN 141336
  • Gateway Regional Medical Center Hospital, Granite City, IL, CCN 140125
  • HSHS Holy Family Hospital Inc Hospital, Greenville, IL, CCN 140137

Merit-based Incentive Payment System (MIPS)

Final score
74.76 of 100Reported as group
Quality
54.98
Promoting interoperability
85
Improvement activities
40
Cost
73.39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Medical Group, LLC Nephrology CurrentSince Jan 1, 2023 Accepting new patients
St. Louis Nephrology and Hypertension Nephrology CurrentSince Apr 21, 1997 Accepting new patients

Locations

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

6812 State Route 162
Ste 121
Maryville, IL 62062
Phone (314) 543-5999

1400 US Highway 61
Ste 260
Crystal Cty, MO 63028
Phone (636) 933-2121

1011 Bowles Ave
Ste 610
Fenton, MO 63026
Phone (314) 644-3535

6400 Clayton Rd
Ste 412
Saint Louis, MO 63117
Phone (314) 381-1800

1034 S Brentwood Blvd
Ste 1280
Saint Louis, MO 63117
Phone (314) 396-9517

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1467530410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797021",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631797000",
            "telephone_number": "314-644-3535",
            "fax_number": "314-644-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 STATE ROUTE 162 STE 121",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628586",
            "telephone_number": "618-391-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R9H62",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110165961",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

Verify at the official NPI Registry.