Organization Active NPI

Summers Healthcare LLC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1841733078
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2007010580 Issued in MO
Legal business name
SUMMERS HEALTHCARE LLC
Practice address
3915 Watson Rd Ste 202
Saint Louis, MO 63109-1251
Phone
(314) 267-9316
Fax
(888) 464-1108
NPI assigned
Nov 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Dr. William Summers, MDNPI 1265471650
Title
President
Phone
(314) 267-9316

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: 193400000X SINGLE SPECIALTY GROUP 207R00000X 2007010580 MO Primary

Addresses

Primary practice location

3915 Watson Rd Ste 202
Saint Louis, MO 63109-1251

Mailing address

3915 Watson Rd Ste 202
Saint Louis, MO 63109-1251
Phone (314) 244-3818

Other identifiers 1

IdentifierTypeStateIssuer
500039570MedicaidMO

Other names 1

  • Summers Healthcare Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170310002000 MO Part B Supplier - Clinic/Group Practice 5597049536 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2122759Summers Healthcare, LLC3915 Watson Rd, Ste 202, Saint Louis, MO 63109Provider-performed microscopyNov 13, 2026

National Provider Directory

National Provider Directory

Locations

3915 Watson Rd
Ste 101
Saint Louis, MO 63109
Phone (314) 352-2711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJICD

Practitioners & affiliated clinicians

Practitioners 2

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": "1479513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1841733078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 WATSON RD STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091251",
            "telephone_number": "314-244-3818",
            "fax_number": "888-464-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 WATSON RD STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631091251",
            "telephone_number": "314-267-9316",
            "fax_number": "888-464-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-19",
        "last_updated": "2024-05-31",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-267-9316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2007010580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500039570",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summers Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.