Active NPI
David A Peter, M.D.
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2017037297
- Practice address
- 201 BJC St Peters Drive Ste 100 Saint Peters Mo 63376
Saint Louis, MO 63195-0001 - Phone
- (636) 916-7233
- Fax
- (636) 916-7234
- NPI assigned
- Mar 31, 2006
- Last updated
- Dec 24, 2025
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2017037297 | MO | Primary |
Addresses
Primary practice location
201 BJC St Peters Drive Ste 100 Saint Peters Mo 63376
Saint Louis, MO 63195-0001
Mailing address
'PO Box 959354 St Louis Mo 63195'
Saint Louis, MO 63195-0001
Phone (636) 916-7233
Other practice location 1
969 N Mason Rd Ste 160
Saint Louis, MO 63141-6387
Phone (314) 996-8090
Other practice location 2
1600 Heritage LNDG
Ste 215
Saint Peters, MO 63303-8488
Phone (636) 939-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202253902 | Medicaid | MO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017037297 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Internal Medicine | Past | Accepting new patients |
| SSM St. Charles Clinic Medical Group, Inc. | Internal Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health Medical Group
- Family Medicine Physician
- Saint Charles, MO
- NPI 1811932973
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766534400000",
"number": "1508827395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "'PO BOX 959354 ST LOUIS MO 63195'",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631950001",
"telephone_number": "636-916-7233",
"fax_number": "636-916-7234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 BJC ST PETERS DRIVE STE 100 SAINT PETERS MO 63376",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631950001",
"telephone_number": "636-916-7233",
"fax_number": "636-916-7234"
}
],
"practiceLocations": [
{
"address_1": "969 N Mason Rd Ste 160",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631416387",
"country_code": "US",
"telephone_number": "314-996-8090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 HERITAGE LNDG",
"address_2": "STE 215",
"address_purpose": "LOCATION",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633038488",
"country_code": "US",
"telephone_number": "636-939-4200",
"fax_number": "636-939-4204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETER",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2017037297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202253902",
"state": "MO"
}
],
"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": "201 Bjc St Peters Drive Ste 100 Saint Peters Mo 63376",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631950001",
"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": "969 N Mason Rd Ste 160",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631416387",
"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 Dec 24, 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.