Active NPI
Fadi F Siyam, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 2013002833
- Practice address
- 12700 Southfork Rd Ste 205
Saint Louis, MO 63128-3201 - Phone
- (314) 525-7350
- Fax
- (314) 525-7356
- NPI assigned
- Jul 21, 2008
- Last updated
- Feb 4, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 2013002833 | MO | Primary |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD220356 | OR | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 036150752 | IL |
Addresses
Primary practice location
12700 Southfork Rd Ste 205
Saint Louis, MO 63128-3201
Mailing address
12700 Southfork Rd Ste 205
Saint Louis, MO 63128-3201
Phone (314) 525-7350
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fsiyam262424@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12700 Southfork Rd
Suite 205
Saint Louis, MO 63128-3201
Phone (314) 525-7350
621 S New Ballas Rd
Suite 460a
Saint Louis, MO 63141-8259
Phone (314) 251-4330
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 84.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.21
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036150752 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
| 2013002833 | MO | MD | Endocrinology, Diabetes & Metabolism Physician |
| MD220356 | OR | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJL Health Systems Inc | Current | Accepting new patients | |
| Mercy Clinic Endocrinology, LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Physician Groups LC | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
Locations
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
775 Sunset Blvd
#B
O Fallon, IL 62269
Phone (618) 235-8500
12700 Southfork Rd
Ste 205
Saint Louis, MO 63128
Phone (314) 525-7350
621 S New Ballas Rd
Ste 460A
Saint Louis, MO 63141
Phone (314) 251-4330
Organizations & group practices 4
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Saint Louis, MO
- NPI 1922328442
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
dba Prairie Rose Health Care Center
- Skilled Nursing Facility
- Pana, IL
- NPI 1215037353
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
Endocrinology, Diabetes & Metabolism
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1558526574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD STE 205",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283201",
"telephone_number": "314-525-7350",
"fax_number": "314-525-7356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD STE 205",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283201",
"telephone_number": "314-525-7350",
"fax_number": "314-525-7356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIYAM",
"first_name": "FADI",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "MO",
"license": "2013002833",
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "OR",
"license": "MD220356",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "036150752",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fsiyam262424@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "775 Sunset Blvd Ste B",
"city": "O Fallon",
"state": "IL",
"country_code": "US",
"postal_code": "622691960",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.