Organization Active NPI

Weikart Healthcare Group LLC

  • Internal Medicine Physician
  • O Fallon, MO
National Provider Identifier
1790057230
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R5G33 Issued in MO
Legal business name
WEIKART HEALTHCARE GROUP LLC
Practice address
1002 Peruque Crossing CT
Suite 101
O Fallon, MO 63366-2362
Phone
(636) 294-5900
Fax
(636) 294-5908
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Dr. Kevin David Weikart, MDNPI 1902864986
Title
President
Phone
(636) 294-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X R5G33 MO Primary

Addresses

Primary practice location

1002 Peruque Crossing CT
Suite 101
O Fallon, MO 63366-2362

Mailing address

1002 Peruque Crossing CT Ste 101
O Fallon, MO 63366-2381
Phone (636) 887-0812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120419000481 MO Part B Supplier - Clinic/Group Practice 1456512383 Receives reassigned benefits from 1 practitioner
Practice locations: O Fallon, MO

National Provider Directory

National Provider Directory

Locations

1002 Peruque Crossing Ct
O Fallon, MO 63366
Phone (636) 294-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1790057230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 PERUQUE CROSSING CT STE 101",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662381",
            "telephone_number": "636-887-0812",
            "fax_number": "636-237-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 PERUQUE CROSSING CT",
            "address_2": "SUITE 101",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662362",
            "telephone_number": "636-294-5900",
            "fax_number": "636-294-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIKART HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "WEIKART",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-294-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5G33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.