NPIMap

Organization Active NPI

Missouri Baptist Medical Center

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1609658905
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MISSOURI BAPTIST MEDICAL CENTER
Practice address
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone
(314) 996-5000
NPI assigned
Oct 20, 2023
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Ann Abad
Title
President
Phone
(314) 996-8401

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary
General Practice Physician 208D00000X NU

Addresses

Primary practice location

3015 N Ballas Rd
Saint Louis, MO 63131-2329

Mailing address

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE) Missouri Baptist Medical Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240111001744 MO Part B Supplier - Clinic/Group Practice 3476461955 Receives reassigned benefits from 114 practitioners
Practice locations: Saint Louis, MO

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Missouri Bapt Med Ctr7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

15838 Fountain Plaza Dr
Ste B
Chesterfield, MO 63017
Phone (314) 690-1113

1103 W Liberty St
Ste 4020
Farmington, MO 63640
Phone (573) 701-7250

1234 S Kingshighway Blvd
Ste 1500
Saint Louis, MO 63110
Phone (314) 657-9000

3005 N Ballas Rd
Fl 4
Saint Louis, MO 63131
Phone (314) 996-4987

3005 N Ballas Rd
Ste 400
Saint Louis, MO 63131
Phone (314) 996-7520

3009 N Ballas Rd
Ste 112
Saint Louis, MO 63131
Phone (314) 996-7036

3009 N Ballas Rd
Ste 115
Saint Louis, MO 63131
Phone (314) 996-7773

3009 N Ballas Rd
Ste 262
Saint Louis, MO 63131

3009 N Ballas Rd
Ste 328A
Saint Louis, MO 63131

3009 N Ballas Rd
Ste 353
Saint Louis, MO 63131
Phone (314) 996-6800

3023 N Ballas Rd
Ste 100
Saint Louis, MO 63131
Phone (314) 657-9008

3023 N Ballas Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 996-5287

3023 N Ballas Rd
Ste 210
Saint Louis, MO 63131
Phone (314) 993-9229

3023 N Ballas Rd
Ste 220
Saint Louis, MO 63131

3023 N Ballas Rd
Ste 300
Saint Louis, MO 63131

3023 N Ballas Rd
Ste 550
Saint Louis, MO 63131

3844 S Lindbergh Blvd
Ste 100
Saint Louis, MO 63127
Phone (314) 525-0519

3844 S Lindbergh Blvd
Ste 110
Saint Louis, MO 63127
Phone (314) 525-0495

3844 S Lindbergh Blvd
Ste 115
Saint Louis, MO 63127
Phone (314) 996-4987

3844 S Lindbergh Blvd
Ste 130
Saint Louis, MO 63127
Phone (314) 525-0500

3844 S Lindbergh Blvd
Ste 140
Saint Louis, MO 63127
Phone (314) 525-0505

Ownership & related parties

All facility ownership & control disclosures 12

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

FacilityTypeRoleSince
Parkland Health Center - FarmingtonFarmington, MO, CCN 260163 Hospital Operational/Managerial Control Jun 2, 1994
Missouri Baptist Medical CenterSaint Louis, MO, CCN 260108 Hospital Operational/Managerial Control Jun 2, 1994
Missouri Baptist Sullivan HospitalSullivan, MO, CCN 261337 Hospital Operational/Managerial Control Oct 15, 2002
Missouri Baptist Sullivan HospitalSullivan, MO, CCN 26Z337 Hospital Operational/Managerial Control Oct 15, 2002
Missouri Baptist Sullivan HospitalSullivan, MO, CCN 26M337 Hospital Operational/Managerial Control Oct 15, 2002
Parkland Health Center - Bonne TerreBonne Terre, MO, CCN 260779 Hospital Operational/Managerial Control Jun 2, 1994
Missouri Baptist Cuba Medical OfficeCuba, MO, CCN 263407 Rural health clinic Operational/Managerial Control Jun 2, 1994
Sullivan Medical OfficeSullivan, MO, CCN 263487 Rural health clinic Operational/Managerial Control Jun 2, 1994
Bourbon Medical OfficeBourbon, MO, CCN 268527 Rural health clinic Operational/Managerial Control Jun 2, 1994
Missouri Baptist Steelville OfficeSteelville, MO, CCN 268528 Rural health clinic Operational/Managerial Control Jun 2, 1994
Parkland Health Center Medical ClinicFarmington, MO, CCN 268794 Rural health clinic Operational/Managerial Control Jun 1, 1993
Parkland Health Center Primary Care ClinicFarmington, MO, CCN 268807 Rural health clinic Operational/Managerial Control Jun 1, 1993

Owned or controlled facilities with NPI records 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 164

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 164

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1609658905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 N BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312329",
            "telephone_number": "314-996-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312329",
            "telephone_number": "314-996-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI BAPTIST MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-20",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "ABAD",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-996-8401"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "BJC",
            "affiliationName": "Missouri Baptist Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3015 N Ballas Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312329",
            "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.