NPIMap

Individual provider Active NPI

Joseph A Stauber, M.D.

  • Rheumatology Physician
  • Saint Louis, MO
National Provider Identifier
1548609779
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
2016011515 Issued in MO
Practice address
520 S Elm Ave
Saint Louis, MO 63119-3845
Phone
(314) 645-4434
Fax
(314) 645-3801
NPI assigned
Jun 20, 2013
Last updated
Jul 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20160111515 MO
Internal Medicine Physician 207R00000X 2013019956 MO
Rheumatology Physician 207RR0500X 2016011515 MO Primary

Addresses

Primary practice location

520 S Elm Ave
Saint Louis, MO 63119-3845

Mailing address

520 S Elm Ave
Saint Louis, MO 63119-3845
Phone (314) 645-4434

Other practice location 1

1402 S Grand Blvd
Doisy Hall Suite 213A
Saint Louis, MO 63104-1004
Phone (314) 977-6195

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629003055 MO Practitioner - RheumatologyPractitioner - Hospitalist 6406074111 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Hospitalist
Education
Creighton University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clayton Medical Associates PCGroup PAC ID 9133177587, 5 clinicians

Practice addresses (Care Compare)

520 S Elm Ave
Saint Louis Rheumatology
Saint Louis, MO 63119-3845
Phone (314) 645-4434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013019956MOMDInternal Medicine Physician
20160111515MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Consultants Inc. Rheumatology CurrentSince Jul 1, 2018 Accepting new patients
Clayton Medical Associates, P.C. Rheumatology CurrentSince Aug 17, 2020 Accepting new patients

Locations

3440 De Paul Ln
Ste 113
Bridgeton, MO 63044
Phone (314) 942-6464

522 N New Ballas Rd
Ste 240
Saint Louis, MO 63141
Phone (314) 567-5100

520 S Elm Ave
Webster Grvs, MO 63119
Phone (314) 645-4434

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.

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1548609779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S ELM AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193845",
            "telephone_number": "314-645-4434",
            "fax_number": "314-645-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S ELM AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193845",
            "telephone_number": "314-645-4434",
            "fax_number": "314-645-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 S Grand Blvd",
            "address_2": "Doisy Hall Suite 213A",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041004",
            "country_code": "US",
            "telephone_number": "314-977-6195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUBER",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "20160111515",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2013019956",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MO",
            "license": "2016011515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.