Individual provider Active NPI

Karen Hill Pugh, M.D.

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1629412481
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2016009342 Issued in MO
Practice address
1465 S Grand Blvd
Room 1204
Saint Louis, MO 63104-1003
Phone
(314) 577-5600
Fax
(314) 577-5616
NPI assigned
Apr 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2016009342 MO Primary

Addresses

Primary practice location

1465 S Grand Blvd
Room 1204
Saint Louis, MO 63104-1003

Mailing address

1465 S Grand Blvd
Room 2717
Saint Louis, MO 63104-1003
Phone (314) 577-5634

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
I20161228000066 MO Practitioner - Pediatric Medicine 3476855925 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016009342MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Nov 21, 2016 Accepting new patients
SSM Cardinal Glennon Childrens Hospital Pediatrics CurrentSince Nov 21, 2016 Accepting new patients
SSM Health Care St. Louis Pediatrics CurrentSince Nov 21, 2016 Accepting new patients
SSM Cardinal Glennon Children'S Hospital Pediatrics CurrentSince Nov 21, 2016 Accepting new patients
SSM Medical Group Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-2662

1465 S Grand Blvd
Rm 1204
Saint Louis, MO 63104
Phone (314) 577-5600

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

1465 S Grand Blvd
Rm 2717
Saint Louis, MO 63104
Phone (314) 268-4070

Interoperability endpoints

  • Direct secure messaging: kpugh14576@direct-ehr-ssmhc.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1629412481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 S GRAND BLVD",
            "address_2": "ROOM 2717",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041003",
            "telephone_number": "314-577-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 S GRAND BLVD",
            "address_2": "ROOM 1204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041003",
            "telephone_number": "314-577-5600",
            "fax_number": "314-577-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "KAREN",
        "middle_name": "HILL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2016009342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.