Individual provider Active NPI

Dale J Klein, MD

  • Anesthesiology Physician
  • O Fallon, MO
National Provider Identifier
1801990437
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2006031936 Issued in MO
Practice address
2 Progress Point Pkwy
O Fallon, MO 63368-2205
Phone
(636) 344-1000
Fax
(314) 362-1185
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2006031936 MO Primary

Addresses

Primary practice location

2 Progress Point Pkwy
O Fallon, MO 63368-2205

Mailing address

2 Progress Point Pkwy
O Fallon, MO 63368-2205
Phone (636) 344-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MS, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120201000401 MO Practitioner - AnesthesiologyPractitioner - Pain Management 7214992809 Reassigns benefits to 3 organizations
I20190502000367 MS Practitioner - AnesthesiologyPractitioner - Pain Management 7214992809 Reassigns benefits to 2 organizations
I20210419000255 IA Practitioner - AnesthesiologyPractitioner - Pain Management 7214992809 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Apr 18, 2022 Accepting new patients
Mercy Clinic Springfield Communities Pain Medicine CurrentSince Apr 18, 2022 Accepting new patients
Lifelinc Anesthesia, PLLC Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
MHC Anesthesia Services Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Pain Management Ctr Meridian Pain Medicine CurrentSince Mar 6, 2019 Accepting new patients
Aim Anesthesia LLC Anesthesiology CurrentSince Apr 23, 2024 Accepting new patients
Capital Anesthesia Solutions of Missouri, LLC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
Siouxland Anesthesiology, LTD Pain Medicine Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
United Anesthesia Services PC Anesthesiology Past Accepting new patients
Cherry Health Center, LLC PastSince Jun 16, 2008 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

400 10th St E
Waconia, MN 55387

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000

1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1801990437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PROGRESS POINT PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682205",
            "telephone_number": "636-344-1000",
            "fax_number": "636-344-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PROGRESS POINT PKWY",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682205",
            "telephone_number": "636-344-1000",
            "fax_number": "314-362-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "DALE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2006031936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.