NPIMap

Organization Active NPI

SSM Medical Group, Inc.

Doing business as SSM Health Medical Group

  • Multi-Specialty Clinic/Center
  • Fenton, MO
National Provider Identifier
1700966207
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SSM MEDICAL GROUP, INC.
Doing business as
SSM Health Medical Group
Practice address
1011 Bowles Ave
Suite 300
Fenton, MO 63026-2395
Phone
(636) 496-5000
Fax
(636) 496-5045
NPI assigned
Oct 17, 2006
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Eileen Lamb
Title
Regional VP Finance
Phone
(314) 994-6219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

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 1

  • SSM Health Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2160 S State Route 157
Ste B
Glen Carbon, IL 62034
Phone (618) 692-1212

2133 Vadalabene Dr
Ste 6
Maryville, IL 62062
Phone (314) 738-2770

12349 De Paul Dr
Ste 100
Bridgeton, MO 63044
Phone (314) 291-3399

1475 Kisker Rd
Ste 180
Saint Charles, MO 63304
Phone (636) 442-7300

1475 Kisker Rd
Ste 200
Saint Charles, MO 63304
Phone (636) 498-5800

400 1st Capitol Dr
Ste 401
Saint Charles, MO 63301
Phone (314) 946-8700

1035 Bellevue Ave
Ste 400
Saint Louis, MO 63117
Phone (314) 925-4700

6400 Clayton Rd
Ste 216
Saint Louis, MO 63117
Phone (314) 434-9285

722 N State Highway 47
#B
Warrenton, MO 63383
Phone (636) 456-3413

1603 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 332-8228

Practitioners & affiliated clinicians

Practitioners 767

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 767

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1700966207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534",
            "telephone_number": "557-203-0943",
            "fax_number": "314-209-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE",
            "address_2": "SUITE 300",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262395",
            "telephone_number": "636-496-5000",
            "fax_number": "636-496-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "REGIONAL VP FINANCE",
        "authorized_official_telephone_number": "314-994-6219"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.