NPIMap

Individual provider Active NPI

Jose Remo, MD

  • Internal Medicine Physician
  • Sullivan, MO
National Provider Identifier
1598876450
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5N92 Issued in MO
Practice address
101 Progress Pkwy
Sullivan, MO 63080-2359
Phone
(573) 468-3555
Fax
(573) 468-3554
NPI assigned
Aug 31, 2006
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R5N92 MO Primary

Addresses

Primary practice location

101 Progress Pkwy
Sullivan, MO 63080-2359

Mailing address

101 Progress Pkwy
Sullivan, MO 63080-2359
Phone (573) 468-3555

Other identifiers 4

IdentifierTypeStateIssuer
1598876450MedicaidMO
203200506MedicaidMO
P00435679OtherRAILROAD MEDICARE
P01135367OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070925000328 MO Practitioner - Internal Medicine 3072607779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians
Equilibrium RanchGroup PAC ID 3375999345, 2 clinicians

Practice addresses (Care Compare)

1326 S Service W Rd
Suite 20
Sullivan, MO 63080-2306
Phone (573) 468-3555

81 Pilkenton LN
Cuba, MO 65453-8136
Phone (573) 885-6443

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Internal Medicine Current Accepting new patients
Mercy Clinic East Communities Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Missouri Baptist Hospital of Sullivan CurrentSince Jan 1, 2008 Accepting new patients
Equilibrium Ranch CurrentSince Aug 1, 2025 Accepting new patients
Missouri Baptist Hospital of Sullivan CurrentSince Jan 1, 2008 Accepting new patients
Mercy Clinic East Communities Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Community Care Ctr of Sullivan, Inc Past Accepting new patients
Missouri Baptist Hospital of Sullivan Past Accepting new patients
Missouri Baptist Hospital of Sullivan Past Accepting new patients
Cuba Manor, Inc. Past Accepting new patients
Sullivan Operations, LLC Past Accepting new patients
Rock Springs Residential, LLC Past Accepting new patients

Locations

81 Pilkenton Ln
Cuba, MO 65453
Phone (573) 885-6443

81 Pilkenton Ln
#705
Cuba, MO 65453

9513 Highway 100
New Haven, MO 63068
Phone (573) 237-6100

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

101 Progress Pkwy
Sullivan, MO 63080
Phone (573) 468-3555

1326 S Service Rd W
#20
Sullivan, MO 63080
Phone (573) 468-3555

1326 S Service Rd W
Ste 20
Sullivan, MO 63080
Phone (573) 468-3555

751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343

965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: jremo279247@directc.mercy.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Meramec NursingSullivan, MO, CCN 265554 Skilled nursing facility Adp of the SNF Jun 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 9

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1598876450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROGRESS PKWY",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630802359",
            "telephone_number": "573-468-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROGRESS PKWY",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630802359",
            "telephone_number": "573-468-3555",
            "fax_number": "573-468-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMO",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5N92",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598876450",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203200506",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00435679",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01135367",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sullivan, MO

Sources for this page

Verify at the official NPI Registry.