Individual provider Active NPI

Theodore S. Rummel, DO

  • Orthopaedic Surgery Physician
  • Saint Peters, MO
National Provider Identifier
1508978164
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO 101663 Issued in MO
Practice address
112 Piper Hill Dr
Suite 6
Saint Peters, MO 63376-1690
Phone
(636) 229-5900
Fax
(636) 229-5011
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DO 101663 MO Primary

Addresses

Primary practice location

112 Piper Hill Dr
Suite 6
Saint Peters, MO 63376-1690

Mailing address

12639 Old Tesson Rd
Saint Louis, MO 63128-2711
Phone (314) 849-0311

Other practice location 1

2630 Highway K
O Fallon, MO 63368-6624
Phone (636) 344-1073

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
Direct Messaging Address theodore.rummel@direct.signature.nexgenshare.com

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO 101663MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Peters Bone & Joint Surgery Inc. Orthopaedic Surgery PastSince Mar 11, 2025 Accepting new patients
St Peters Bone & Joint Surgery Inc. Orthopaedic Surgery Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73033
  • Direct secure messaging: trummel135759@direct.carenet.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1508978164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282711",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PIPER HILL DR",
            "address_2": "SUITE 6",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761690",
            "telephone_number": "636-229-5900",
            "fax_number": "636-229-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 Highway K",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633686624",
            "country_code": "US",
            "telephone_number": "636-344-1073",
            "fax_number": "314-344-1075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUMMEL",
        "first_name": "THEODORE",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "DO 101663",
            "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": "2630 Highway K",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633686624",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theodore.rummel@direct.signature.nexgenshare.com",
            "affiliation": "N",
            "address_1": "112 Piper Hill Dr",
            "address_2": "Suite 6",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.