Active NPI
Michael E McCadden, M.D.
- Dermatology Physician
- Saint Louis, MO
National Provider Identifier
1831234400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MDR4H54
- Practice address
- 621 S New Ballas Rd
498A
Saint Louis, MO 63141-8232 - Phone
- (314) 251-3376
- Fax
- (314) 251-5781
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | MDR4H54 | MO | |
| Dermatology Physician | 207N00000X | MDR4H54 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd
498A
Saint Louis, MO 63141-8232
Mailing address
2 Carlson Pkwy N
Ste 240
Plymouth, MN 55447-4485
Phone (314) 251-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A14101 | Other | MO | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR4H54 | MO | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1831234400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CARLSON PKWY N",
"address_2": "STE 240",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554474485",
"telephone_number": "314-251-3376",
"fax_number": "314-251-5781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"address_2": "498A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-3376",
"fax_number": "314-251-5781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCADDEN",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "MO",
"license": "MDR4H54",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "MDR4H54",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "A14101",
"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 Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.