Active NPI
Michael Ansstas, M.D.
- Gastroenterology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2012032351
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170630001859 | MO | Practitioner - Internal Medicine | 5092084277 | Reassigns benefits to 1 organization |
| I20200827002746 | IL | Practitioner - Gastroenterology | 5092084277 | Reassigns benefits to 1 organization |
| I20230628002123 | GA | Practitioner - Gastroenterology | 5092084277 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Archbold Medical Group, Inc.HSHS Medical Group Inc
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
- Archbold Memorial Hospital
- Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 114 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 297 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A160085 | CA | MD | Gastroenterology Physician |
| 036153515 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| Mercy Clinic Gastroenterology, LLC | Gastroenterology | Current | Accepting new patients |
| Archbold Medical Group, Inc. | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Past | 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
- 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.
-
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1528295334
Gastroenterology, MO
-
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Rural Health Clinic/Center
- Effingham, IL
- NPI 1265904486
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1467849257
-
- Durable Medical Equipment & Medical Supplies
- Jacksonville, IL
- NPI 1629465414
-
- Rural Health Clinic/Center
- Altamont, IL
- NPI 1679108351
-
- Rural Health Clinic/Center
- Newton, IL
- NPI 1679236533
-
- Durable Medical Equipment & Medical Supplies
- Breese, IL
- NPI 1740677533
-
- Rural Health Clinic/Center
- Highland, IL
- NPI 1851536296
-
- Pulmonary Disease Physician
- Thomasville, GA
- NPI 1972097293
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thomasville, GA
- NPI 1194779702
Hospital
-
- Rehabilitation Hospital Unit
- Thomasville, GA
- NPI 1104867738
Hospital
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
Hospital
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.