Active NPI
Michael Robert Messmer, D.O.
- Sports Medicine (Family Medicine) Physician
- Godfrey, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 036169796
- Practice address
- 5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510 - Phone
- (618) 619-3330
- Fax
- (618) 463-7601
- NPI assigned
- Mar 21, 2009
- Last updated
- Sep 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 02004856A | IN | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 036169796 | IL | Primary |
Addresses
Primary practice location
5213 Godfrey Rd Ste 110
Godfrey, IL 62035-2510
Mailing address
660 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8512
Phone (314) 448-3791
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MESSMER@mybeacon.cernerdirect.com | ||
| 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
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240
1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-3055
1418 Cross St
Suite 350
Shiloh, IL 62269-2988
Phone (618) 607-3900
2122 Troy Rd
Suite 130
Edwardsville, IL 62025-2540
Phone (618) 463-7600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036169796 | IL | MD | Sports Medicine (Family Medicine) Physician |
| 02004856A | IN | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
5213 Godfrey Rd
Ste 110
Godfrey, IL 62035
Phone (618) 619-3330
660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6481
660 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 463-6950
Interoperability endpoints
- messmer@mybeacon.cernerdirect.com
Organizations & group practices 3
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 BJC Medical Group of Illinois
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
-
dba Beacon Bone and Joint Specialists
- Critical Care Medicine (Internal Medicine) Physician
- Elkhart, IN
- NPI 1821222829
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
dba Christian Hospital
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Hospital
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1538300561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 MASON RIDGE CENTER DR STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418512",
"telephone_number": "314-448-3791",
"fax_number": "314-996-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5213 GODFREY RD STE 110",
"city": "GODFREY",
"state": "IL",
"postal_code": "620352510",
"telephone_number": "618-619-3330",
"fax_number": "618-463-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSMER",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-21",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IN",
"license": "02004856A",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IL",
"license": "036169796",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MESSMER@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "3221 Beacon Parkway",
"city": "Granger",
"state": "IN",
"country_code": "US",
"postal_code": "46530",
"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": "5213 Godfrey Rd Ste 110",
"city": "Godfrey",
"state": "IL",
"country_code": "US",
"postal_code": "620352510",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Godfrey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.