Active NPI
Zachary Michael Bartochowski, MD
- Psychiatry Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036.169089
- Practice address
- 1438 S Grand Blvd
Saint Louis, MO 63104-1027 - Phone
- (314) 617-2777
- Fax
- (314) 768-6625
- NPI assigned
- Apr 10, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2024012666 | MO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 2020017218 | MO | |
| Psychiatry Physician | 2084P0800X | 036.169089 | IL | Primary |
Addresses
Primary practice location
1438 S Grand Blvd
Saint Louis, MO 63104-1027
Mailing address
1438 S Grand Blvd
Saint Louis, MO 63104-1027
Phone (314) 617-2777
Other practice location 1
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 257-8000
Other practice location 2
3655 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 257-8503
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
- Psychiatry
- Education
- Saint Louis University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1438 S Grand Blvd
Saint Louis, MO 63104-1027
Phone (314) 977-6082
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.169089 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Psychiatry | Current | Accepting new patients |
Locations
3655 Vista Ave
Saint Louis, MO 63110
Phone (314) 977-5110
1438 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 977-4828
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
Interoperability endpoints
- zbartochowski389465@direct.saint-lukes.org
- zbartochowski509740@direct-ehr-ssmhc.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.
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1801415757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1438 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041027",
"telephone_number": "314-617-2777",
"fax_number": "314-768-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041027",
"telephone_number": "314-617-2777",
"fax_number": "314-768-6625"
}
],
"practiceLocations": [
{
"address_1": "1201 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041016",
"country_code": "US",
"telephone_number": "314-257-8000",
"fax_number": "314-768-6625",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3655 Vista Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631102539",
"country_code": "US",
"telephone_number": "314-257-8503",
"fax_number": "314-768-6625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTOCHOWSKI",
"first_name": "ZACHARY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-10",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2024012666",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2020017218",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036.169089",
"primary": true
}
],
"identifiers": [],
"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 Jul 5, 2024; 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.