Active NPI
Kharole Compere, M.D.
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2020033336
- Practice address
- 175 N Oaks PLZ
Saint Louis, MO 63121-2925 - Phone
- (314) 391-9777
- Fax
- (314) 390-5404
- NPI assigned
- Apr 16, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2020033336 | MO | Primary |
Addresses
Primary practice location
175 N Oaks PLZ
Saint Louis, MO 63121-2925
Mailing address
175 N Oaks PLZ
Saint Louis, MO 63121-2925
Phone (314) 391-9777
Other practice location 1
12255 DePaul Dr
Suite 500
Bridgeton, MO 63044
Phone (314) 209-5100
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcompere132764@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
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Saint Louis University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12255 De Paul Dr
Suite 600
Bridgeton, MO 63044-2515
Phone (314) 209-5100
Hospital & facility affiliations
- SSM Health Depaul Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
12255 De Paul Dr
Ste 600
Bridgeton, MO 63044
Phone (314) 209-5100
12 Hutchinson Rd
Ellisville, MO 63011
Phone (636) 391-0122
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
Interoperability endpoints
- kcompere449505@direct-ehr-ssmhc.com
- kcompere132764@direct-ehr-ssmhc.com
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1598299646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N OAKS PLZ",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631212925",
"telephone_number": "314-391-9777",
"fax_number": "314-390-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N OAKS PLZ",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631212925",
"telephone_number": "314-391-9777",
"fax_number": "314-390-5404"
}
],
"practiceLocations": [
{
"address_1": "12255 DePaul Dr",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "63044",
"country_code": "US",
"telephone_number": "314-209-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMPERE",
"first_name": "KHAROLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-16",
"last_updated": "2023-03-13",
"certification_date": "2023-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2020033336",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcompere132764@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kcompere132764@direct-ehr-ssmhc.com",
"address_1": "12255 DePaul Dr",
"address_2": "Suite 500",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "63044",
"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 DePaul Dr",
"address_2": "Suite 500",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "63044",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.