Active NPI
Sarah Grace O'Grady, M.D.
- Pediatrics Physician
- Collinsville, IL
National Provider Identifier
1740415587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036144133
- Practice address
- 101 United Dr Ste 110
Collinsville, IL 62234-7428 - Phone
- (618) 855-9041
- Fax
- (618) 855-9046
- NPI assigned
- May 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 036144133 | IL | |
| Pediatrics Physician | 208000000X | 036144133 | IL | Primary |
Addresses
Primary practice location
101 United Dr Ste 110
Collinsville, IL 62234-7428
Mailing address
101 United Dr Ste 110
Collinsville, IL 62234-7428
Phone (618) 855-9041
Other practice location 1
7600 Dale Ave
Richmond Heights, MO 63117-2132
Phone (314) 833-5437
Other names 1
- Dr. Sarah Cook Bowron
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | HIE | Health Information Exchange (HIE) | St. Louis Children's Hospital |
| FHIR URL | HIE | Health Information Exchange (HIE) | St. Louis Children's Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036144133 | IL | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Pediatrics | Past | Accepting new patients |
| Kristin Stahl MD PC | Pediatrics | Past | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| SSM Health Care St. Louis | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- sarah.ogrady@hp-il.direct.office.nextgen.com
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1740415587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 UNITED DR STE 110",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622347428",
"telephone_number": "618-855-9041",
"fax_number": "618-855-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 UNITED DR STE 110",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622347428",
"telephone_number": "618-855-9041",
"fax_number": "618-855-9046"
}
],
"practiceLocations": [
{
"address_1": "7600 Dale Ave",
"address_purpose": "LOCATION",
"city": "Richmond Heights",
"state": "MO",
"postal_code": "631172132",
"country_code": "US",
"telephone_number": "314-833-5437",
"fax_number": "314-833-3627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'GRADY",
"first_name": "SARAH",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "IL",
"license": "036144133",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036144133",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "HIE",
"affiliation": "Y",
"affiliationName": "St. Louis Children's Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7600 Dale Ave",
"city": "Richmond Heights",
"state": "MO",
"country_code": "US",
"postal_code": "631172132",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "HIE",
"affiliation": "Y",
"affiliationName": "St. Louis Children's Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "101 United Dr Ste 110",
"city": "Collinsville",
"state": "IL",
"country_code": "US",
"postal_code": "622347428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SARAH",
"last_name": "BOWRON",
"middle_name": "COOK",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Collinsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.