Active NPI
Richard A Summa, M.D.
- Pulmonary Disease Physician
- Bridgeton, MO
National Provider Identifier
1558334227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- R8D48
- Practice address
- 12255 De Paul Dr Ste 500
Bridgeton, MO 63044-2515 - Phone
- (314) 291-9501
- Fax
- (314) 291-9508
- NPI assigned
- Feb 10, 2006
- Last updated
- Oct 27, 2020
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | R8D48 | MO | Primary |
Addresses
Primary practice location
12255 De Paul Dr Ste 500
Bridgeton, MO 63044-2515
Mailing address
PO Box 955534
Saint Louis, MO 63195-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00035728 | Other | MO | RAILROAD MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rsumma23371@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
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Saint Louis University School of Medicine, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3221 McKelvey Rd
Suite 301
Bridgeton, MO 63044-2568
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8D48 | MO | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Pulmonary Disease | Past | Accepting new patients |
Interoperability endpoints
- rsumma23371@direct-ehr-ssmhc.com
Organizations & group practices 1
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 SSM Health DePaul Hospital
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
Pulmonary Disease
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St. Joseph Hospital - St. Charles
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
dba SSM Health DePaul Hospital - St. Louis
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
dba SSM Health St. Clare Hospital - Fenton
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1558334227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955534",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DE PAUL DR STE 500",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442515",
"telephone_number": "314-291-9501",
"fax_number": "314-291-9508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMA",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "R8D48",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00035728",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rsumma23371@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "rsumma23371@direct-ehr-ssmhc.com",
"address_1": "12255 De Paul Dr Ste 500",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "630442515",
"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": "12255 De Paul Dr Ste 500",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "630442515",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.