Individual provider Active NPI

Michael Ansstas, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1851658728
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2012032351 Issued in MO
Practice address
11155 Dunn Rd Ste 309E
Saint Louis, MO 63136-6111
Phone
(314) 953-8799
NPI assigned
Apr 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036153515 IL
Gastroenterology Physician 207RG0100X 2012032351 MO Primary
Gastroenterology Physician 207RG0100X A160085 CA

Addresses

Primary practice location

11155 Dunn Rd Ste 309E
Saint Louis, MO 63136-6111

Mailing address

11155 Dunn Rd Ste 309E
Saint Louis, MO 63136-6111
Phone (314) 953-8799

Other practice location 1

4 Memorial Dr Ste 230B
Alton, IL 62002-6705
Phone (618) 463-7874

Other practice location 2

3 Saint Elizabeth Blvd
O Fallon, IL 62269-1281
Phone (618) 641-5803

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mansstas218436@ewd.direct.hshs.org
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170630001859 MO Practitioner - Internal MedicinePractitioner - Allergy/ImmunologyPractitioner - Gastroenterology 5092084277 Reassigns benefits to 1 organization
I20200827002746 IL Practitioner - Gastroenterology 5092084277 Reassigns benefits to 1 organization
I20230628002123 GA Practitioner - GastroenterologyPractitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5092084277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Allergy/Immunology, Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Archbold Medical Group, Inc.Group PAC ID 8123196383, 80 clinicians
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

112 Mimosa Dr
Thomasville, GA 31792-6605
Phone (229) 227-0045

3 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 641-5803

Hospital & facility affiliations

  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy114
Upper gastrointestinal (GI) endoscopy for acid reflux297

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160085CAMDGastroenterology Physician
036153515ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archbold Medical Group, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Mercy Clinic Gastroenterology, LLC Gastroenterology CurrentSince Oct 31, 2022 Accepting new patients
Archbold Medical Group, Inc. CurrentSince Jul 1, 2023 Accepting new patients
HSHS Medical Group Inc CurrentSince Nov 3, 2025 Accepting new patients
HSHS Medical Group Inc CurrentSince Nov 3, 2025 Accepting new patients
Mercy Hospitals East Communities PastSince Oct 31, 2022 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Umass Memorial Medical Center, Inc. Past Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
Christian Hospital Northeast- Northwest Past Accepting new patients

Locations

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

112 Mimosa Dr
Thomasville, GA 31792
Phone (229) 227-0045

100 Mimosa Dr
Thomasville, GA 31792
Phone (229) 226-9141

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889

3 Saint Elizabeth Blvd
Ste 5000
O Fallon, IL 62269
Phone (618) 567-1910

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

3 Saint Elizabeth Blvd
Shiloh, IL 62269
Phone (618) 233-6044

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

200 Brevco Plz
Ste 208
Lake St Louis, MO 63367
Phone (314) 251-3880

615 S New Ballas Rd
Ste 1200
Saint Louis, MO 63141
Phone (314) 251-2880

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1851658728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD STE 309E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366111",
            "telephone_number": "314-953-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD STE 309E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366111",
            "telephone_number": "314-953-8799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Memorial Dr Ste 230B",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620026705",
            "country_code": "US",
            "telephone_number": "618-463-7874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Saint Elizabeth Blvd",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691281",
            "country_code": "US",
            "telephone_number": "618-641-5803",
            "fax_number": "618-607-5116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSSTAS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-17",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036153515",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2012032351",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A160085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mansstas218436@ewd.direct.hshs.org",
            "affiliation": "N",
            "address_1": "3 Saint Elizabeth Blvd",
            "city": "O Fallon",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622691281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11155 Dunn Rd Ste 309E",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366111",
            "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.