Active NPI
Benjamin Zimmerman Root, M.D.
- Gastroenterology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2021008458
- Practice address
- 11525 Olde Cabin Rd
Saint Louis, MO 63141-7146 - Phone
- (314) 279-9049
- Fax
- (314) 997-5086
- NPI assigned
- May 9, 2015
- Last updated
- Jun 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Gastroenterology Physician | 207RG0100X | 2021008458 | MO | Primary |
Addresses
Primary practice location
11525 Olde Cabin Rd
Saint Louis, MO 63141-7146
Mailing address
11525 Olde Cabin Rd
Saint Louis, MO 63141-7146
Other practice location 1
550 1st Ave
NYU Langone Medical Center
New York, NY 10016-6402
Phone (212) 263-5506
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
- Gastroenterology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11525 Olde Cabin Rd
Suite 101
Creve Coeur, MO 63141-7146
Phone (314) 400-9999
3800 S Whitney Ave
Independence, MO 64055-6739
Phone (816) 478-4887
Hospital & facility affiliations
- Missouri Baptist Medical Center
- Northwestern Medicine Central Dupage Hospital
- St Lukes Hospital
- Barnes Jewish Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 153 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 145 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021008458 | MO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Specialists, LLC | Gastroenterology | Current | Accepting new patients |
Locations
3800 S Whitney Ave
Ste 100
Independence, MO 64055
11525 Olde Cabin Rd
Ste 101
Saint Louis, MO 63141
Phone (314) 400-9999
Interoperability endpoints
- benjamin.root.p1@direct.sig.nextgenshare.com
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Independence, MO
- NPI 1801286844
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1619355765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11525 OLDE CABIN RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11525 OLDE CABIN RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417146",
"telephone_number": "314-279-9049",
"fax_number": "314-997-5086"
}
],
"practiceLocations": [
{
"address_1": "550 1st Ave",
"address_2": "NYU Langone Medical Center",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100166402",
"country_code": "US",
"telephone_number": "212-263-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROOT",
"first_name": "BENJAMIN",
"middle_name": "ZIMMERMAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-09",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2021008458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Melissa M Rooney, MD
- Patricia A. Roosevelt, LPC
- Tina Roostaei, MD, MPH
- Root & Rise Therapy and Wellness
- Root to Crown Wellness (Rooted Birth Collective)
- Michael Zimmerman Root, MD
- Rooted Healthcare LLC
- Katie Marie Heiden Rootes, PH.D., LMFT
- Roots Healthcare and Homes
- Kathy Lucille Roper, RN, BSN, NNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.