Individual provider Active NPI

Michael John Emmerling, MD

  • Urology Physician
  • Alton, IL
National Provider Identifier
1841810454
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2025033249 Issued in MO
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250815001747 IL Practitioner - Urology 5890126684 Reassigns benefits to 2 organizations
I20250823000228 MO Practitioner - Urology 5890126684 Reassigns benefits to 1 organization

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
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036176384ILMDUrology Physician
2025033249MOMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of St. Louis, Inc. Multi-Specialty CurrentSince Aug 15, 2025 Accepting new patients
Urology of St. Louis, Inc. Multi-Specialty CurrentSince Aug 15, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group Multi-Specialty CurrentSince Aug 6, 2025 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

  • Direct secure messaging: memmerling312624@directhisp.wakemed.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.