Active NPI
Theodore S. Rummel, DO
- Orthopaedic Surgery Physician
- Saint Peters, MO
National Provider Identifier
1508978164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- DO 101663
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DO 101663 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Peters Bone & Joint Surgery Inc. | Orthopaedic Surgery | Past | Accepting new patients |
| St Peters Bone & Joint Surgery Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73033
- 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.
-
- Orthopaedic Surgery Physician
- Saint Peters, MO
- NPI 1225182157
-
- Orthopaedic Surgery Physician
- O Fallon, MO
- NPI 1386010684
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.