Individual provider Active NPI

Michael Jeffrey Barkoviak, M.D.

  • Pulmonary Disease Physician
  • Saint Louis, MO
National Provider Identifier
1609867142
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
118286 Issued in MO
Practice address
11133 Dunn Rd
Suite 2335
Saint Louis, MO 63136-6119
Phone
(314) 653-5007
Fax
(314) 653-4149
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 118286 MO Primary
Pulmonary Disease Physician 207RP1001X 036.081636 IL

Addresses

Primary practice location

11133 Dunn Rd
Suite 2335
Saint Louis, MO 63136-6119

Mailing address

11133 Dunn Rd Ste 2335
Saint Louis, MO 63136-6165
Phone (314) 653-5007

Other practice location 1

1300 N Market St
Sparta, IL 62286-1048
Phone (618) 443-4138

Other identifiers 1

IdentifierTypeStateIssuer
204727606MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nch@spartahospital.hin.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040902000666 IL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4486620325 Reassigns benefits to 5 organizations
I20100823000439 MO Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4486620325 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Rush Medical College of Rush University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Consultants IncGroup PAC ID 1355317280, 10 clinicians
Sparta Community Hospital D/B/a Quality Healthcare ClinicsGroup PAC ID 6709870462, shared by 7 NPIs, 40 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (636) 916-9406

11133 Dunn Rd
Saint Louis, MO 63136-6119

11133 Dunn Rd
Suite 2335
Saint Louis, MO 63136-6165
Phone (314) 653-5007

1300 N Market St
Sparta, IL 62286-1048
Phone (618) 443-4138

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5160

400 N Caldwell St
Staunton, IL 62088-1499
Phone (314) 653-5007

6 Jungermann Cir
Suite 210
Saint Peters, MO 63376-1625
Phone (636) 441-6056

650 W Taylor St
Vandalia, IL 62471-1296
Phone (314) 653-5007

818 E Broadway St
Sparta, IL 62286-1820
Phone (314) 653-5007

Hospital & facility affiliations

  • Fayette County Hospital Hospital, Vandalia, IL, CCN 141346
  • Sparta Community Hospital Hospital, Sparta, IL, CCN 141349
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Alton Memorial Hospital Hospital, Alton, IL, CCN 140002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.081636ILMDPulmonary Disease Physician
036081636ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Feb 10, 2016 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Feb 10, 2016 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Nov 18, 2013 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Nov 18, 2013 Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Nov 18, 2013 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jan 3, 2026 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Nov 18, 2013 Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics Past Accepting new patients

Locations

650 W Taylor St
Fl 2
Vandalia, IL 62471
Phone (217) 342-3400

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

11133 Dunn Rd
Ste 2335
Saint Louis, MO 63136
Phone (314) 653-5007

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1609867142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD STE 2335",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366165",
            "telephone_number": "314-653-5007",
            "fax_number": "314-653-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD",
            "address_2": "SUITE 2335",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366119",
            "telephone_number": "314-653-5007",
            "fax_number": "314-653-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N Market St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "IL",
            "postal_code": "622861048",
            "country_code": "US",
            "telephone_number": "618-443-4138",
            "fax_number": "618-443-3685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKOVIAK",
        "first_name": "MICHAEL",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "118286",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036.081636",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204727606",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nch@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "1300 N Market St",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622861048",
            "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.