Individual provider Active NPI

Steven P Zenker, MD

  • Pediatrics Physician
  • Alton, IL
National Provider Identifier
1861485708
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036-075124 Issued in IL
Practice address
1 Professional Dr Ste 250
Alton, IL 62002-5068
Phone
(618) 463-8636
Fax
(618) 463-8640
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036-075124 IL Primary

Addresses

Primary practice location

1 Professional Dr Ste 250
Alton, IL 62002-5068

Mailing address

PO Box 959203
Saint Louis, MO 63195-9203
Phone (618) 463-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
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 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
I20100825000991 IL Practitioner - Pediatric Medicine 3779487657 Reassigns benefits to 1 organization
I20121012000816 MO Practitioner - Pediatric Medicine 3779487657 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-075124ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Mar 24, 2024 Accepting new patients
SSM Health Care St Louis CurrentSince Jan 1, 2016 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Mar 24, 2024 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Christian Hospital Physician Billing Services LLC Past Accepting new patients

Locations

1 Professional Dr
Ste 250
Alton, IL 62002
Phone (618) 463-8636

1 Professional Dr
Alton, IL 62002
Phone (618) 463-8660

1 Professional Dr
Ste 120
Alton, IL 62002
Phone (618) 463-7800

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

2963 Doddridge Ave
Maryland Hts, MO 63043
Phone (314) 291-3909

660 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 463-6950

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: szenker11355@direct.carenet.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1861485708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959203",
            "telephone_number": "618-463-8500",
            "fax_number": "618-433-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PROFESSIONAL DR STE 250",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025068",
            "telephone_number": "618-463-8636",
            "fax_number": "618-463-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENKER",
        "first_name": "STEVEN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-075124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "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": "1 Professional Dr Ste 250",
            "city": "Alton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620025068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.