Individual provider Active NPI

Solomon Seifu, M.D.

  • Interventional Cardiology Physician
  • Fenton, MO
National Provider Identifier
1710397393
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2025012683 Issued in MO
Practice address
1011 Bowles Ave Ste 300
Fenton, MO 63026-2387
Phone
(636) 496-5065
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MR155891 FL
Interventional Cardiology Physician 207RI0011X 2025012683 MO Primary
Specialist 174400000X MR155891 FL

Addresses

Primary practice location

1011 Bowles Ave Ste 300
Fenton, MO 63026-2387

Mailing address

900 Caton Ave
Baltimore, MD 21229
Phone (410) 368-8858

Other practice location 1

6000 49th St N
Saint Petersburg, FL 33709-2114
Phone (727) 527-9779

Other practice location 2

1150 State Highway 248 Ste 200
Branson, MO 65616-4186
Phone (417) 336-4112

Other practice location 3

3800 S National Ave Ste 400
Springfield, MO 65807-5272
Phone (000) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230120001088 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 7416256219 Reassigns benefits to 3 organizations
I20250425000910 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 7416256219 Reassigns benefits to 4 organizations
I20260105002071 MN Practitioner - Interventional Cardiology 7416256219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians
Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians
St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians

Practice addresses (Care Compare)

1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000

1150 State Hwy 248
Suite 200
Branson, MO 65616-4186
Phone (417) 336-4112

2024 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 828-7100

Hospital & facility affiliations

  • SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081
  • Essentia Health St Joseph'S Medical Center Hospital, Brainerd, MN, CCN 240075

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
73.64
Promoting interoperability
99
Improvement activities
40
Cost
68.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MR155891FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Villages Regional Hospital Physician Services LLC CurrentSince Jul 7, 2024 Accepting new patients
SSM Medical Group Inc. CurrentSince Apr 16, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 11, 2025 Accepting new patients
Skaggs Community Hospital Association Interventional Cardiology CurrentSince Jul 11, 2025 Accepting new patients
St Joseph'S Medical Center CurrentSince Jan 5, 2026 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 24, 2024 Accepting new patients
SSM Health Care St Louis CurrentSince Apr 20, 2025 Accepting new patients
St Joseph'S Medical Center CurrentSince Jan 5, 2026 Accepting new patients
SSM Medical Group, Inc. CurrentSince Apr 16, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jul 24, 2024 Accepting new patients
Lester E Cox Medical Centers CurrentSince Jul 11, 2025 Accepting new patients
Cardiology Interpreters Inc CurrentSince Jan 1, 2023 Accepting new patients
Skaggs Community Hospital Association CurrentSince Jul 11, 2025 Accepting new patients
Cardiology Consultants Specialist Past Accepting new patients

Locations

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

1150 State Highway 248
Ste 200
Branson, MO 65616
Phone (417) 336-4112

1011 Bowles Ave
Ste 300
Fenton, MO 63026
Phone (636) 496-5000

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

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

12800 Corporate Hill Dr
Saint Louis, MO 63131
Phone (314) 989-6430

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

Interoperability endpoints

  • Direct secure messaging: sseifu533323@direct-ehr-ssmhc.com

Organizations & group practices 39

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.

View all 39

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1710397393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21229",
            "telephone_number": "410-368-8858",
            "fax_number": "410-368-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BOWLES AVE STE 300",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262387",
            "telephone_number": "636-496-5065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 49th St N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337092114",
            "country_code": "US",
            "telephone_number": "727-527-9779",
            "fax_number": "410-368-3525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 State Highway 248 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656164186",
            "country_code": "US",
            "telephone_number": "417-336-4112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 S National Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075272",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIFU",
        "first_name": "SOLOMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "MR155891",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2025012683",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MR155891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

Verify at the official NPI Registry.