NPIMap

Individual provider Active NPI

Shawn Michael Gao, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1740424704
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2014027747 Issued in MO
Practice address
3535 S Jefferson Ave
Ste. 118
Saint Louis, MO 63118-3930
Phone
(314) 776-7999
Fax
(314) 772-2257
NPI assigned
Apr 21, 2009
Last updated
Jun 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014027747 MO Primary

Addresses

Primary practice location

3535 S Jefferson Ave
Ste. 118
Saint Louis, MO 63118-3930

Mailing address

3535 S Jefferson Ave
Ste. 118
Saint Louis, MO 63118-3930
Phone (314) 776-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922002747 MO Practitioner - Internal Medicine 6901025055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Medical Services LLCGroup PAC ID 3375857394, 6 clinicians

Practice addresses (Care Compare)

1400 Lemay Ferry Rd
Saint Louis, MO 63125-2408
Phone (314) 685-8721

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.43 of 100Reported as individual
Quality
51.28
Improvement activities
40
Cost
59.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014027747MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Medical Services LLC Internal Medicine CurrentSince May 22, 2015 Accepting new patients
Arch Primary Care III LLC Internal Medicine CurrentSince Mar 16, 2022 Accepting new patients
The Estates of Perryville, LLC Past Accepting new patients
Lansdowne Healthcare, LLC Past Accepting new patients
Bentwood Healthcare LLC Past Accepting new patients
St. Johns Place, Inc. Past Accepting new patients
Jpam Consulting, Inc Past Accepting new patients
South County Health Care Center, LLC Past Accepting new patients
Community Care Center of Lemay, Inc Past Accepting new patients
Pine Grove Manor LLC Past Accepting new patients
Naufel Inc. Past Accepting new patients
Bel Oak of Lemay LLC Past Accepting new patients
Carrie Elligson Gietner Health Care Center, L.L.C. Past Accepting new patients
Monarch Springs Wellness & Rehabilitation LLC Past Accepting new patients
Eldercare of Marble Hill, LLC Past Accepting new patients
Jpam Management & Consulting Inc Past Accepting new patients

Locations

1400 Lemay Ferry Rd
Saint Louis, MO 63125
Phone (314) 338-7955

3535 S Jefferson Ave
Ste 118
Saint Louis, MO 63118
Phone (314) 773-1822

777 Craig Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 549-8494

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bentleys Extended CareSaint Louis, MO, CCN 265732 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2017
Jan 1, 2017
The Estates of St Louis LLCSaint Louis, MO, CCN 265712 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2019
May 1, 2019
The Estates of Spanish LakeSaint Louis, MO, CCN 265776 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2019
May 1, 2019
Lemay NursingSaint Louis, MO, CCN 265775 Skilled nursing facility Adp of the SNF Jun 1, 2024
Pine Grove ManorSaint Louis, MO, CCN 265828 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
Aug 11, 2025
Monarch Springs Wellness & RehabilitationUniversity City, MO, CCN 265831 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
Aug 5, 2025
Serenity Hospice, LLCBallwin, MO, CCN 261671 Hospice Contracted Managing Employee (100%) May 1, 2022

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1740424704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE",
            "address_2": "STE. 118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183930",
            "telephone_number": "314-776-7999",
            "fax_number": "314-772-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE",
            "address_2": "STE. 118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183930",
            "telephone_number": "314-776-7999",
            "fax_number": "314-772-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014027747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.