Individual provider Active NPI

Thomas S. Sommers Jr., M.D.

  • Family Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1710946504
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
113174 Issued in MO
Practice address
510 Baxter Rd
Suite 10N
Chesterfield, MO 63017-7032
Phone
(636) 492-1323
Fax
(714) 631-8902
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 113174 MO Primary

Addresses

Primary practice location

510 Baxter Rd
Suite 10N
Chesterfield, MO 63017-7032

Mailing address

510 Baxter Rd
Suite 10N
Chesterfield, MO 63017-7032
Phone (636) 492-1323

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
I20070524000544 MO Practitioner - Family Practice 5597862698 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113174MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Sep 8, 2012 Accepting new patients
Mercy Hospitals East Communities CurrentSince Sep 8, 2012 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Mercy Clinic East Communities Family Medicine Past Accepting new patients
Mercy Hospital South Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

Interoperability endpoints

  • Direct secure messaging: tsommers383@directc.mercy.net

Organizations & group practices 6

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1710946504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 BAXTER RD",
            "address_2": "SUITE 10N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177032",
            "telephone_number": "636-492-1323",
            "fax_number": "714-631-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BAXTER RD",
            "address_2": "SUITE 10N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177032",
            "telephone_number": "636-492-1323",
            "fax_number": "714-631-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERS",
        "first_name": "THOMAS",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "113174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.