Individual provider Active NPI

Simeon Prager, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1851320329
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD105478 Issued in MO
Practice address
1035 Bellevue Ave Ste 305
Saint Louis, MO 63117-1845
Phone
(314) 925-4700
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD105478 MO Primary

Addresses

Primary practice location

1035 Bellevue Ave Ste 305
Saint Louis, MO 63117-1845

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

Other practice location 1

6555 Chippewa St
Suite 200
Saint Louis, MO 63109-4110
Phone (314) 647-2555

Other identifiers 1

IdentifierTypeStateIssuer
206990632MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sprager25265@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000302 MO Practitioner - Internal Medicine 3072707629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Diego School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

1035 Bellevue Ave
Suite 305
Saint Louis, MO 63117-1845
Phone (314) 644-6161

1035 Bellevue Ave
Suite 400
Saint Louis, MO 63117-1844
Phone (314) 925-4700

1035 Bellevue Ave
Suite 500
Saint Louis, MO 63117-1843
Phone (314) 925-4770

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD105478MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. Internal Medicine CurrentSince May 1, 2011 Accepting new patients
SSM Medical Group Inc. CurrentSince May 1, 2011 Accepting new patients
SSM Health Care St. Louis Internal Medicine Past Accepting new patients

Locations

1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

1035 Bellevue Ave
Ste 400
Saint Louis, MO 63117
Phone 3149254700 ext. 4

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

6555 Chippewa St
Ste 200
Saint Louis, MO 63109
Phone (314) 647-2555

1035 Bellevue Ave
Ste 305
Saint Louis, MO 63117
Phone (314) 644-6161

Organizations & group practices 3

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 8

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1851320329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE STE 305",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171845",
            "telephone_number": "314-925-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 Chippewa St",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631094110",
            "country_code": "US",
            "telephone_number": "314-647-2555",
            "fax_number": "314-647-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAGER",
        "first_name": "SIMEON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MD105478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206990632",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sprager25265@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sprager25265@direct-ehr-ssmhc.com",
            "address_1": "1035 Bellevue Ave Ste 305",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1035 Bellevue Ave Ste 305",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.