SSM Medical Group, Inc.
Organization Active NPI Multi-Specialty Clinic/Center · Fenton, MO
NPI 1700966207 · NPPES record last updated Apr 22, 2026
Key facts
- NPI
- 1700966207
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- SSM MEDICAL GROUP, INC.
- Practice address
- 1011 Bowles Ave
Suite 300
Fenton, MO 63026-2395 - Phone
- (636) 496-5000
- Fax
- (636) 496-5045
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Eileen Lamb
- Title
- Regional VP Finance
- Phone
- (314) 994-6219
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 7
Practitioners 767
-
Syed A Abdul Khader, M.D.
-
Lindsey Danielle Adams, NP-C
-
Tauqir X Ahmed, MD
-
Najat A. Al-Sherri, M.D.
-
Tanvira K Alam, DO
-
Zain Ali, M.D.
-
Saad Alkaade, M.D.
-
Laura Ly Allen, N.P.
-
Amer Alshekhlee, MD
-
Kristina Marie Anderson, M.D.
-
Jordan Marie Arneaud, ACNP
-
Romila Aslam, M.D.
-
Issam Atallah, MD
-
Sara Atkinson, MSN, FNP-C
-
Getinet Degu Ayalew, M.D.
-
Elie C Azrak, MD
-
Natalie Faye Babb, FNP-BC
-
Maddison Baker, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040729001034 | MO | Part B Supplier - Clinic/Group Practice | 6608776299 |
Receives reassigned benefits from 742 practitioners 1 other NPI on this enrollment |
| O20150929002491 | IL | Part B Supplier - Clinic/Group Practice | 6608776299 |
Receives reassigned benefits from 25 practitioners 1 other NPI on this enrollment Practice locations: Shiloh, IL; Red Bud, IL; Alton, IL; O Fallon, IL; Nashville, IL; Maryville, IL; Granite City, IL; Glen Carbon, IL… |
National Provider Directory
Locations
1000 Eleven S
Ste 4A
Columbia, IL 62236
Phone (618) 206-6120
12277 De Paul Dr
Ste 500
Bridgeton, MO 63044
400 Medical Plz
Ste 100
Lake St Louis, MO 63367
Phone (636) 639-8600
400 1st Capitol Dr
Ste 401
Saint Charles, MO 63301
Phone (314) 946-8700
711 Veterans Memorial Pkwy
Ste 200
Saint Charles, MO 63303
Phone (636) 379-6363
400 1st Capitol Dr
Ste 301
Saint Charles, MO 63301
Phone (314) 739-8844
1475 Kisker Rd
Ste 180
Saint Charles, MO 63304
Phone (636) 442-7300
1475 Kisker Rd
Ste 185
Saint Charles, MO 63304
Phone (636) 498-5800
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
10777 Sunset Office Dr
Ste 210
Saint Louis, MO 63127
1031 Bellevue Ave
Ste 100
Saint Louis, MO 63117
Phone (314) 540-8332
5401 Veterans Memorial Pkwy
Ste 101
Saint Peters, MO 63376
Phone (636) 939-4820
164 Professional Pkwy
Troy, MO 63379
Phone (636) 462-5437
18800 Schnucks Dr
Warrenton, MO 63383
Phone (636) 456-3413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
1011 Bowles Ave
Suite 300
Fenton, MO 63026-2395
Mailing address
PO Box 955534
Saint Louis, MO 63195-5534
Phone (557) 203-0943
Other names
- SSM Health Medical Group
Other providers in Fenton, MO
- SSM Health Care St. Louis
- SSM Medical Group
- SSM Medical Group
- SSM Medical Group
- SSM Medical Group Inc.
- SSM St Clare Surgical Center LLC
- St Anthony'S Physician Organization Private Practices LC
- St Louis Counseling Inc
- St Louis Dermatology LLC
- St Louis Spine and Joint Pain Specialists LLC
All providers in Fenton, MO · Multi-Specialty Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.