Active NPI
Craig R Hildreth, M.D.
- Medical Oncology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- R6F58
- Practice address
- 10004 Kennerly Rd Ste 137a
Saint Louis, MO 63128-2140 - Phone
- (314) 842-7301
- Fax
- (314) 842-7308
- NPI assigned
- Aug 15, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | R6F58 | MO | Primary |
Addresses
Primary practice location
10004 Kennerly Rd Ste 137a
Saint Louis, MO 63128-2140
Mailing address
10004 Kennerly Rd Ste 137a
Saint Louis, MO 63128-2140
Phone (314) 842-7301
Other practice location 1
533 Couch Ave
G-20
Saint Louis, MO 63122-5561
Phone (314) 965-6411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203709100 | Medicaid | MO |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100210000614 | MO | Practitioner - Hematology/Oncology | 2264592054 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Louis Cancer Care LLP
Practice addresses (Care Compare)
10004 Kennerly Rd
Suite 137a
Saint Louis, MO 63128-2140
Phone (314) 842-7301
10004 Kennerly Rd
Suite 137a
Saint Louis, MO 63128-2141
226 S Woods Mill Rd
Suite 45W
Chesterfield, MO 63017-3663
Phone (314) 579-0051
Hospital & facility affiliations
- Mercy Hospital South
- Mercy Hospital St Louis
- Missouri Baptist Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Louis Cancer Care, L.L.P. | Current | Accepting new patients |
Locations
226 S Woods Mill Rd
Ste 45W
Chesterfield, MO 63017
Phone (314) 205-6160
1551 Wall St
Ste 400
Saint Charles, MO 63303
Phone (636) 462-6106
1031 Bellevue Ave
Ste 300
Saint Louis, MO 63117
Phone (314) 647-9444
10004 Kennerly Rd
Ste 137A
Saint Louis, MO 63128
Phone (314) 842-7301
Organizations & group practices 1
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 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1851393136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10004 KENNERLY RD STE 137A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282140",
"telephone_number": "314-842-7301",
"fax_number": "314-842-7308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 KENNERLY RD STE 137A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282140",
"telephone_number": "314-842-7301",
"fax_number": "314-842-7308"
}
],
"practiceLocations": [
{
"address_1": "533 Couch Ave",
"address_2": "G-20",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631225561",
"country_code": "US",
"telephone_number": "314-965-6411",
"fax_number": "314-965-1339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILDRETH",
"first_name": "CRAIG",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MO",
"license": "R6F58",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203709100",
"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 Mar 17, 2018; 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.