NPIMap

Individual provider Active NPI

Mablene Buggs, M.D.

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1821092214
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-085587 Issued in IL
Practice address
2620 S 13TH St
Saint Louis, MO 63118-1838
Phone
(314) 534-0043
Fax
(314) 909-0330
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-085587 IL Primary

Addresses

Primary practice location

2620 S 13TH St
Saint Louis, MO 63118-1838

Mailing address

2620 S 13TH St
Saint Louis, MO 63118-1838
Phone (314) 534-0043

Other identifiers 5

IdentifierTypeStateIssuer
202943346MedicaidMO
036085587MedicaidIL
06032182OtherILBLUE CROSS BLUE SHIELD
3932056OtherILBLUE SHIELD
1821092214MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040505000143 IL Practitioner - Emergency Medicine 6709874084 Reassigns benefits to 4 organizations
I20051221000106 MO Practitioner - Emergency Medicine 6709874084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Washington University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians
Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians

Practice addresses (Care Compare)

1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120

751 Sappington Bridge Rd
Sullivan, MO 63080-2354
Phone (573) 468-4186

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-085587ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Mar 31, 2023 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jun 1, 2013 Accepting new patients
App of Illinois Ed PLLC Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Statera Health Care, LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Mount Vernon Emergency Group PC Emergency Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Midwest Emergency Services Inc Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

200 Health Care Dr
#1501
Greenville, IL 62246
Phone (616) 664-1230

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343

Interoperability endpoints

  • Direct secure messaging: mbuggs05@yourcarecommunity.org

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1821092214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S 13TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181838",
            "telephone_number": "314-534-0043",
            "fax_number": "314-909-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S 13TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181838",
            "telephone_number": "314-534-0043",
            "fax_number": "314-909-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGGS",
        "first_name": "MABLENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-085587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202943346",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085587",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06032182",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "3932056",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821092214",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.