Howard D Kessler, DO
Individual provider Active NPI Emergency Medicine Physician · Jefferson, MO
NPI 1689620049 · NPPES record last updated Oct 28, 2020
Key facts
- NPI
- 1689620049
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 103876 (MO)
- Practice address
- 1125 Madison Street
Capital Region Medical Center
Jefferson, MO 65101 - Phone
- (800) 875-0136
- Fax
- (937) 619-4231
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bothwell Regional Health Center
Practice addresses (Care Compare)
601 E 14TH St
Bothwell Regional Health Center
Sedalia, MO 65301-5972
Phone (660) 826-8833
Hospital & facility affiliations
- Bothwell Regional Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040322000465 | MO | Practitioner - Emergency Medicine | 4486545456 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103876 | MO | MD | Emergency Medicine Physician |
| 34008371 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Emergency Physicians, PC | Emergency Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current |
Accepting new patients |
| Glutality Provider Group, P.a. | Current |
Accepting new patients | |
| Bothwell Regional Health Center | Current |
Accepting new patients | |
| Bothwell Regional Health Center | Current | Accepting new patients | |
| Bothwell Regional Health Center | Current |
Accepting new patients | |
| RMC HBP, LLC | Past | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| Liberty Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Tenet Healthsystem Di, Inc. | Past | Accepting new patients | |
| West Central Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
5300 Broken Sound Blvd NW
Ste 200
Boca Raton, FL 33487
Phone (888) 657-2560
100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000
5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500
601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34008371 | OH | |
| Emergency Medicine Physician | 207P00000X | 103876 | MO | Yes |
Addresses
Primary practice location
1125 Madison Street
Capital Region Medical Center
Jefferson, MO 65101
Mailing address
3130 Madison Street
Jefferson, MO 65101
Phone (800) 875-0136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00186937 | Other | RR MEDICARE | |
| 2528134 | Medicaid | OH | |
| 000000349644 | Other | OH | BCBS |
Other providers in Jefferson, MO
All providers in Jefferson, MO · Emergency Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.