Organization Active NPI

Midwest Health Professionals PC

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1487709812
Registry record updated Mar 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MIDWEST HEALTH PROFESSIONALS PC
Practice address
8793 Watson Rd
Saint Louis, MO 63119-5111
Phone
(314) 968-0700
Fax
(314) 961-0909
NPI assigned
Jan 24, 2007
Last updated
Mar 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2026

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

Authorized official

Name
Tshiswaka Kayembe, MDNPI 1164477766
Title
Owner
Phone
(314) 968-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

8793 Watson Rd
Saint Louis, MO 63119-5111

Mailing address

8793 Watson Rd
Saint Louis, MO 63119-5111
Phone (314) 968-0700

Other practice location 1

1169 E Cherry St
Troy, MO 63379-1520
Phone (573) 221-0304

Other practice location 2

3394 McKelvey Rd Ste 115
Bridgeton, MO 63044-2531
Phone (314) 968-0700

Other identifiers 2

IdentifierTypeStateIssuer
500166202MedicaidMO
CI4700OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031231000627 MO Part B Supplier - Clinic/Group Practice 5597664284 Receives reassigned benefits from 2 practitioners
Practice locations: Troy, MO; Saint Louis, MO; Perryville, MO; Bridgeton, MO; Chesterfield, MO; Fenton, MO; Festus, MO; Kirkwood, MO
O20240829002900 IL Part B Supplier - Clinic/Group Practice 5597664284 Receives reassigned benefits from 1 practitioner
Practice locations: Granite City, IL; Sterling, IL; Waukegan, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1026843Midwest Health Professionals PC8793 Watson Road, Webster Groves, MO 63119Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory

Locations

11520 Saint Charles Rock Rd
Ste 106
Bridgeton, MO 63044
Phone (314) 209-9331

12762 Boenker Ln
Bridgeton, MO 63044
Phone (314) 291-1170

6400 Clayton Rd
Ste 408
Saint Louis, MO 63117
Phone (314) 390-1042

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773532800000",
    "number": "1487709812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8793 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195111",
            "telephone_number": "314-968-0700",
            "fax_number": "314-968-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8793 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195111",
            "telephone_number": "314-968-0700",
            "fax_number": "314-961-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1169 E Cherry St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633791520",
            "country_code": "US",
            "telephone_number": "573-221-0304",
            "fax_number": "314-968-0702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3394 McKelvey Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442531",
            "country_code": "US",
            "telephone_number": "314-968-0700",
            "fax_number": "314-961-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDWEST HEALTH PROFESSIONALS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A",
        "authorized_official_last_name": "KAYEMBE",
        "authorized_official_first_name": "TSHISWAKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-968-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500166202",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI4700",
            "state": "MO"
        }
    ],
    "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 Mar 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.