NPIMap

Organization Active NPI

SSM St. Joseph Endoscopy Center, LLC

Doing business as SSM Health Endoscopy Center

  • Clinic/Center
  • Saint Peters, MO
National Provider Identifier
1871536037
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SSM ST. JOSEPH ENDOSCOPY CENTER, LLC
Doing business as
SSM Health Endoscopy Center
Practice address
4203 S Cloverleaf Dr
Saint Peters, MO 63376-6452
Phone
(636) 441-9990
Fax
(636) 441-9997
NPI assigned
Jun 14, 2006
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Mrs. Karen Rewerts, CFO
Title
System Vice President Finance
Phone
(314) 989-6843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

4203 S Cloverleaf Dr
Saint Peters, MO 63376-6452

Mailing address

4203 S Cloverleaf Dr
Saint Peters, MO 63376-6452
Phone (636) 441-9990

Other names 1

  • SSM Health Endoscopy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040322000671 MO Part B Supplier - Ambulatory Surgical Center 0840181731 Practice locations: Saint Peters, MO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
SSM Health Endoscopy CenterCCN 26C0001077
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10176 Corporate Square Dr
Ste 110
Saint Louis, MO 63132
Phone (314) 989-2820

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1871536037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 S CLOVERLEAF DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766452",
            "telephone_number": "636-441-9990",
            "fax_number": "636-441-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 S CLOVERLEAF DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766452",
            "telephone_number": "636-441-9990",
            "fax_number": "636-441-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM ST. JOSEPH ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "REWERTS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "SYSTEM VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "314-989-6843",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSM Health Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.