Active NPI
Michael John Emmerling, MD
- Urology Physician
- Alton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2025033249
- Practice address
- 2 Saint Anthonys Way Ste 300
Alton, IL 62002-4581 - Phone
- (618) 462-2226
- Fax
- (618) 462-4809
- NPI assigned
- Apr 23, 2020
- Last updated
- Dec 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2025033249 | MO | Primary |
| Urology Physician | 208800000X | 036176384 | IL |
Addresses
Primary practice location
2 Saint Anthonys Way Ste 300
Alton, IL 62002-4581
Mailing address
12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071
Other practice location 1
12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071
Other practice location 2
2 Memorial Dr Ste 102
Alton, IL 62002-6723
Phone (314) 576-3514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Boston University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071
6812 State Route 162 200
Maryville, IL 62062-8562
Phone (618) 288-0900
Hospital & facility affiliations
- Alton Memorial Hospital
- Missouri Baptist Medical Center
- St Lukes Hospital
- Progress West Hospital
- Anderson Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036176384 | IL | MD | Urology Physician |
| 2025033249 | MO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology of St. Louis, Inc. | Multi-Specialty | Current | Accepting new patients |
| Urology of St. Louis, Inc. | Multi-Specialty | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Multi-Specialty | Current | Accepting new patients |
| Urology of St. Louis, Inc. | Urology | Past | Accepting new patients |
Locations
2 Saint Anthonys Way
Ste 300
Alton, IL 62002
Phone (618) 462-2226
326 Fountains Pkwy
Fairview Heights, IL 62208
Phone (618) 277-3109
6812 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900
3 Saint Elizabeth Blvd
Ste 3200
O Fallon, IL 62269
Phone (618) 489-8030
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415
12855 N 40 Dr
Ste 350
Saint Louis, MO 63141
Phone (314) 205-1926
12855 N 40 Dr
Ste 375
Saint Louis, MO 63141
Interoperability endpoints
- memmerling312624@directhisp.wakemed.org
- michaelemmerling@slus.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Neurosurgery of St Louis
- Specialist
- Saint Louis, MO
- NPI 1528017191
IL, Multi-Specialty
-
dba Neurosurgery of St Louis
- Specialist
- O'Fallon, IL
- NPI 1265392476
Multi-Specialty
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Urology Physician
- Fairview Heights, IL
- NPI 1528901287
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- General Acute Care Hospital
- O'Fallon, MO
- NPI 1508938044
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1841810454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12855 N 40 DR STE 375",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418657",
"telephone_number": "314-567-6071",
"fax_number": "314-453-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SAINT ANTHONYS WAY STE 300",
"city": "ALTON",
"state": "IL",
"postal_code": "620024581",
"telephone_number": "618-462-2226",
"fax_number": "618-462-4809"
}
],
"practiceLocations": [
{
"address_1": "12855 N 40 Dr Ste 375",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418657",
"country_code": "US",
"telephone_number": "314-567-6071",
"fax_number": "314-453-9965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Memorial Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620026723",
"country_code": "US",
"telephone_number": "314-576-3514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMMERLING",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-23",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MO",
"license": "2025033249",
"primary": true
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036176384",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.