Active NPI
Kevin A Coleman, MD
- Pain Medicine (Anesthesiology) Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 105164
- Practice address
- 13131 Tesson Ferry Rd
Suite #105
Saint Louis, MO 63128-3887 - Phone
- (314) 756-8035
- Fax
- (314) 756-8050
- NPI assigned
- Jan 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 105164 | MO | Primary |
| Anesthesiology Physician | 207L00000X | 105164 | MO |
Addresses
Primary practice location
13131 Tesson Ferry Rd
Suite #105
Saint Louis, MO 63128-3887
Mailing address
13131 Tesson Ferry Rd
Suite #105
Saint Louis, MO 63128-3887
Phone (314) 756-8035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206944605 | Medicaid | MO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Missouri, Kansas City, School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 Piper Hill Dr
Saint Peters, MO 63376-1690
13131 Tesson Ferry Rd
Suite 105
Saint Louis, MO 63128-3887
Phone (314) 756-8035
Hospital & facility affiliations
- Mercy Hospital South
- Mercy Hospital St Louis
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Pain Management, LLC | Current | Accepting new patients | |
| South County Anesthesia Associates, LTD. | Anesthesiology | Past | Accepting new patients |
Locations
13131 Tesson Ferry Rd
Ste 105
Saint Louis, MO 63128
Phone (314) 756-8035
112 Piper Hill Dr
Ste 1
Saint Peters, MO 63376
Phone 6364413444 ext. 352
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHHECA
- https://fhir4.healow.com/fhir/r4/AHHECA/Endpoint/AHHECA
- kevin.coleman@mpmpain.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Saint Louis, MO
- NPI 1942470687
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1821031659
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1750360327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13131 TESSON FERRY RD",
"address_2": "SUITE #105",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283887",
"telephone_number": "314-756-8035",
"fax_number": "314-756-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13131 TESSON FERRY RD",
"address_2": "SUITE #105",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283887",
"telephone_number": "314-756-8035",
"fax_number": "314-756-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "KEVIN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MO",
"license": "105164",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "105164",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206944605",
"state": "MO"
}
],
"endpoints": [],
"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 Jun 24, 2010; 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.