NPIMap

Individual provider Active NPI

Anthony Jacob Pappas, M.D.

  • Emergency Medicine Physician
  • Lebanon, MO
National Provider Identifier
1649684168
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2022014785 Issued in MO
Practice address
100 Hospital Dr
Lebanon, MO 65536-9210
Phone
(417) 533-6100
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301105209 MI
Emergency Medicine Physician 207P00000X 40749 SC
Emergency Medicine Physician 207P00000X 2022014785 MO Primary

Addresses

Primary practice location

100 Hospital Dr
Lebanon, MO 65536-9210

Mailing address

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 533-6100

Other practice location 1

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2115

Other identifiers 1

IdentifierTypeStateIssuer
407492MedicaidSC

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
I20220827000582 MO Practitioner - Emergency Medicine 1456576594 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana Medical College, School of Medicine of Purdue University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301105209MIMDEmergency Medicine Physician
2022014785MOMDEmergency Medicine Physician
40749SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Cassville CurrentSince Apr 11, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Mercy Hospital Cassville CurrentSince Apr 11, 2023 Accepting new patients
Mercy Hospital Aurora CurrentSince Apr 11, 2023 Accepting new patients
Mercy Hospital Springfield CurrentSince Sep 1, 2022 Accepting new patients
Mercy Hospital Aurora CurrentSince Apr 11, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Nov 18, 2025 Accepting new patients
Mercy St. Francis Hospital CurrentSince Apr 11, 2023 Accepting new patients
Mercy Hospital Springfield CurrentSince Sep 1, 2022 Accepting new patients
Mercy St. Francis Hospital Current Accepting new patients

Locations

500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122

90 Gravel St
Cassville, MO 65625
Phone (417) 847-6000

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

100 W US Highway 60
Mountain View, MO 65548
Phone (417) 934-7000

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

Organizations & group practices 11

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 11

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1649684168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369210",
            "telephone_number": "417-533-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369210",
            "telephone_number": "417-533-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 E Cherokee St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658042203",
            "country_code": "US",
            "telephone_number": "417-820-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "ANTHONY",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301105209",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "40749",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2022014785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407492",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.