Active NPI
Steven Tedd Fogel, MD
- Anesthesiology Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- R8071
- Practice address
- 1 Hospital Dr
Columbia, MO 65212-0001 - Phone
- (573) 882-2569
- Fax
- (573) 882-2226
- NPI assigned
- May 16, 2006
- Last updated
- Mar 15, 2021
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R8071 | MO | Primary |
Addresses
Primary practice location
1 Hospital Dr
Columbia, MO 65212-0001
Mailing address
4904 Thornbrook RDG
Columbia, MO 65203-9750
Phone (157) 335-5142
Other practice location 1
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 257-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201302338 | Medicaid | MO | |
| 629589513A | Medicaid | GA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sfogel340631@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8071 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Midwest Anesthesia Providers S.C | Anesthesiology | Current | Accepting new patients |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Amsol Physicians of Columbus Ga LLC | Anesthesiology | Past | Accepting new patients |
| Amsol Physicians of Columbus Ga | Anesthesiology | Past | Accepting new patients |
Locations
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
101 S Fairview Rd
Columbia, MO 65203
Phone (573) 882-1095
404 N Keene St
Columbia, MO 65201
Phone (573) 875-9000
110 N Hospital Dr
Fulton, MO 65251
Phone (573) 642-5911
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343
Organizations & group practices 5
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 University Physicians Specialty Care Associates
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1639455264
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1114010584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1558313148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4904 THORNBROOK RDG",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652039750",
"telephone_number": "157-335-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652120001",
"telephone_number": "573-882-2569",
"fax_number": "573-882-2226"
}
],
"practiceLocations": [
{
"address_1": "1201 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041016",
"country_code": "US",
"telephone_number": "314-257-8000",
"fax_number": "314-977-1617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOGEL",
"first_name": "STEVEN",
"middle_name": "TEDD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "R8071",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201302338",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "629589513A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sfogel340631@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "sfogel340631@direct-ehr-ssmhc.com",
"address_1": "1201 S Grand Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041016",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1201 S Grand Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.