Active NPI
Melanie Schwiesow, MD
- Vascular Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2023006666
- Practice address
- 10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197 - Phone
- (314) 525-4325
- NPI assigned
- Mar 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 2023006666 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Phone (314) 525-4325
Other practice location 1
10012 Kennerly Rd Ste 203A
Saint Louis, MO 63128-5107
Phone (314) 880-6622
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
- Vascular Surgery
- Education
- Saint Louis University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 S Kirkwood Rd
Suite 310
Saint Louis, MO 63122-7250
Phone (314) 842-0602
10012 Kennerly Rd
Saint Louis, MO 63128-2197
10050 Kennerly Rd
Suite 25200
Saint Louis, MO 63128-2106
Phone (314) 525-4440
1390 US Hwy 61
Suite N1500
Festus, MO 63028-4137
Phone (636) 717-6720
621 S New Ballas Rd
Suite 3005B
Saint Louis, MO 63141-8266
Phone (314) 567-5850
851 E 5TH St
Suite 108
Washington, MO 63090-3128
Phone (636) 861-7870
Hospital & facility affiliations
- Mercy Hospital South
- Mercy Hospital St Louis
- Mercy Hospital Jefferson
- Mercy Hospital Southeast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 11 |
| Leg revascularization (restoring blood flow) | 18 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Surgical Specialists, LLC | Vascular Surgery | Current | Accepting new patients |
| Mercy Clinic East Communities | Past | Accepting new patients | |
| Mercy Clinic Heart and Vascular, LLC | Past | Accepting new patients |
Locations
1390 US Highway 61
Ste N1500
Crystal Cty, MO 63028
Phone (636) 933-5055
10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325
621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070
10012 Kennerly Rd
Ste 305
Saint Louis, MO 63128
Phone (314) 525-4325
851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144
Organizations & group practices 3
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.
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1043530538
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1932176401
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1689091878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 101",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-525-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 101",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-525-4325"
}
],
"practiceLocations": [
{
"address_1": "10012 Kennerly Rd Ste 203A",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631285107",
"country_code": "US",
"telephone_number": "314-880-6622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWIESOW",
"first_name": "MELANIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "2023006666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.