Individual provider Active NPI

Kharole Compere, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1598299646
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020033336 Issued in MO
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

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005002770 MO Practitioner - Family Practice 2860811171 Reassigns benefits to 1 organization

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
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

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 Hospital, Bridgeton, MO, CCN 260104

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. CurrentSince Mar 1, 2023 Accepting new patients
SSM Medical Group Inc. CurrentSince Mar 1, 2023 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

  • Direct secure messaging: kcompere449505@direct-ehr-ssmhc.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.