Individual provider Active NPI

Richard A. Covert, M.D., MPH

  • Occupational Medicine Physician
  • Hazelwood, MO
National Provider Identifier
1689631194
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
E-4518 Issued in AR
Practice address
1 Village SQ
Suite a
Hazelwood, MO 63042-1817
Phone
(314) 731-9675
Fax
(314) 731-2522
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X E-4518 AR Primary

Addresses

Primary practice location

1 Village SQ
Suite a
Hazelwood, MO 63042-1817

Mailing address

1 Village SQ
Suite a
Hazelwood, MO 63042-1817
Phone (314) 731-9675

Other identifiers 1

IdentifierTypeStateIssuer
AC9485447MedicaidAR

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
I20180215002846 MO Practitioner - General Practice 3476586280 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-4518ARMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group Inc. CurrentSince Aug 1, 2018 Accepting new patients
SSM Medical Group, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients
SSM Depaul Medical Group, Inc. Past Accepting new patients

Locations

12266 De Paul Dr
Ste 100
Bridgeton, MO 63044
Phone (314) 738-2770

14021 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 839-0910

1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

Organizations & group practices 4

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1689631194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VILLAGE SQ",
            "address_2": "SUITE A",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421817",
            "telephone_number": "314-731-9675",
            "fax_number": "314-731-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VILLAGE SQ",
            "address_2": "SUITE A",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421817",
            "telephone_number": "314-731-9675",
            "fax_number": "314-731-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVERT",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AR",
            "license": "E-4518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC9485447",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

Verify at the official NPI Registry.