Active NPI
Adam Nasreddine, MD
- Pediatric Orthopaedic Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 2025034214
- Practice address
- 1 Childrens PL
Ste 1B
Saint Louis, MO 63110-1002 - Phone
- (314) 514-3500
- Fax
- (314) 878-7678
- NPI assigned
- May 9, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 2025034214 | MO | Primary |
Addresses
Primary practice location
1 Childrens PL
Ste 1B
Saint Louis, MO 63110-1002
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 514-3500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Pennsylvania State University College of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1234 S Kingshighway Blvd
Suite 1800
Saint Louis, MO 63110-2179
PO Box
Philadelphia, PA 19178
PO Box 8500 Lockbox
Suite 7642
Philadelphia, PA 19178-7642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Children'S Orthopaedic Surgery Foundation, Inc. | Pediatric Orthopaedic Surgery | Current | Accepting new patients |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Washington University | Past | Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
13001 North Outer 40 Rd
Ste 1C
Chesterfield, MO 63017
5114 Mid America Plz
Ste 1E
Saint Louis, MO 63129
1 Childrens Pl
Ste 1B
Saint Louis, MO 63110
Phone (314) 454-6062
4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551
4400 Clayton Ave
Saint Louis, MO 63110
Phone (314) 432-3600
Interoperability endpoints
- anasreddine31030@direct.bostonchildrens.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679516033
-
- Pediatric Orthopaedic Surgery Physician
- Boston, MA
- NPI 1548344393
-
- Pediatric Orthopaedic Surgery Physician
- Saint Louis, MO
- NPI 1275970295
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
- Orthopaedic Surgery Physician
- Philadelphia, PA
- NPI 1275271462
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1134169568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1710476338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412011",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742011",
"telephone_number": "314-514-3500",
"fax_number": "314-878-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PL",
"address_2": "STE 1B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101002",
"telephone_number": "314-514-3500",
"fax_number": "314-878-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASREDDINE",
"first_name": "ADAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-09",
"last_updated": "2025-09-02",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "MO",
"license": "2025034214",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1 Childrens Pl",
"address_2": "Ste 1B",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.