Individual provider Active NPI

Sundeep Das, M.D.

  • Interventional Cardiology Physician
  • Bridgeton, MO
National Provider Identifier
1548274749
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
118755 Issued in MO
Practice address
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone
(314) 741-0911
Fax
(314) 741-0501
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 118755 MO Primary
Interventional Cardiology Physician 207RI0011X 036101106 IL

Addresses

Primary practice location

3550 McKelvey Rd
Bridgeton, MO 63044-2527

Mailing address

11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136-6150
Phone (314) 741-0911

Other practice location 1

2120 Madison Ave Ste 101
Granite City, IL 62040-4746
Phone (618) 876-8214

Other practice location 2

11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136-6150
Phone (314) 741-0911 ext. 4012

Other practice location 3

1150 State Highway 248 Ste 200
Branson, MO 65616-4186
Phone (417) 336-4112

Other practice location 4

3800 S National Ave Ste 400
Springfield, MO 65807-5272
Phone (000) 000-0000

Other identifiers 1

IdentifierTypeStateIssuer
203772017MedicaidMO

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Christian Hospital Northeast- Northwest
Direct Messaging Address sundeepdas@slhv.medalliesdirect.net Direct
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE) Christian Hospital Northeast- Northwest

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100219000454 MO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0749361640 Reassigns benefits to 3 organizations
I20120302000162 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 0749361640 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Heart and Vascular PCGroup PAC ID 7719880129, 22 clinicians
Decatur Memorial HospitalGroup PAC ID 6204731144, 173 clinicians

Practice addresses (Care Compare)

11155 Dunn Rd
304E
Saint Louis, MO 63136-6111
Phone (314) 741-0911

1150 State Hwy 248
Suite 200
Branson, MO 65616-4186
Phone (417) 336-4112

1551 Wall St
410 St. Louis Heart and Vascular
St. Charles, MO 63303-3541
Phone (314) 741-0911

2120 Madison Ave
Suite 101
Granite City, IL 62040-4746
Phone (618) 876-8214

2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121

3009 N Ballas Rd
Saint Louis, MO 63131-2322
Phone (314) 741-0911

3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.17 of 100Reported as group
Quality
65.03
Improvement activities
20
Cost
79.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting16
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036101106ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skaggs Community Hospital Association Interventional Cardiology CurrentSince Jun 26, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 26, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jun 26, 2025 Accepting new patients
St. Louis Heart & Vascular, P.C. CurrentSince Jun 21, 1999 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jun 26, 2025 Accepting new patients
Granite City Physicians Corp Past Accepting new patients
Advanced Medical Testing Systems, Inc. Past Accepting new patients
Granite City Clinic Corp Past Accepting new patients
Premier Surgical Center LLC Past Accepting new patients
Decatur Memorial Hospital Past Accepting new patients

Locations

2120 Madison Ave
Ste 101
Granite City, IL 62040
Phone (618) 798-3000

1150 State Highway 248
Ste 200
Branson, MO 65616
Phone (417) 336-4112

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

507 W Pine St
Farmington, MO 63640
Phone (573) 454-2466

1551 Wall St
Ste 410
Saint Charles, MO 63303
Phone (314) 838-5702

2325 Dougherty Ferry Rd
Ste 203
Saint Louis, MO 63122
Phone (314) 480-6445

3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796

11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136
Phone 3147410911 ext. 4012

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

105 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 639-6262

Interoperability endpoints

  • Direct secure messaging: sdas@yourcarecommunity.org
  • Direct secure messaging: sdas152814@direct.carenet.org
  • Direct secure messaging: sundeep.das.p5@direct.ahgcardiology.nextgenshare.com

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1548274749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD",
            "address_2": "STE 304E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366150",
            "telephone_number": "314-741-0911",
            "fax_number": "314-741-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442527",
            "telephone_number": "314-741-0911",
            "fax_number": "314-741-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Madison Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404746",
            "country_code": "US",
            "telephone_number": "618-876-8214",
            "fax_number": "618-451-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11155 Dunn Rd",
            "address_2": "Ste 304E",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631366150",
            "country_code": "US",
            "telephone_number": "314-741-0911 x4012",
            "fax_number": "314-741-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 State Highway 248 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656164186",
            "country_code": "US",
            "telephone_number": "417-336-4112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S National Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075272",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAS",
        "first_name": "SUNDEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "118755",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036101106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203772017",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Christian Hospital Northeast- Northwest",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "api",
            "address_1": "11155 Dunn Rd",
            "address_2": "Ste 304E",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sundeepdas@slhv.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11155 Dunn Rd",
            "address_2": "Ste 304E",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Christian Hospital Northeast- Northwest",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11155 Dunn Rd",
            "address_2": "Ste 304E",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.