Individual provider Active NPI

Ronan Y Lev, MD

  • Urology Physician
  • Saint Peters, MO
National Provider Identifier
1871602573
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2004001649 Issued in MO
Practice address
112 Piper Hill Dr
Ste 12
Saint Peters, MO 63376-1690
Phone
(636) 939-9202
Fax
(636) 939-9113
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2004001649 MO Primary

Addresses

Primary practice location

112 Piper Hill Dr
Ste 12
Saint Peters, MO 63376-1690

Mailing address

112 Piper Hill Dr
Ste 12
Saint Peters, MO 63376-1690
Phone (636) 244-4205

Other identifiers 1

IdentifierTypeStateIssuer
208363507MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20040902000136 MO Practitioner - Urology 8426023391 Reassigns benefits to 2 organizations
I20211108001997 IL Practitioner - Urology 8426023391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

112 Piper Hill Dr
Suite 12
Saint Peters, MO 63376-1690
Phone (636) 939-9202

12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8657

2 Saint Anthonys Way
Suite 300
Alton, IL 62002-4581
Phone (618) 462-2226

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Nov 2, 2021 Accepting new patients
Urology of St. Louis, Inc. Urology CurrentSince Jan 1, 2019 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Jan 1, 2019 Accepting new patients
SSM Medical Group, Inc. CurrentSince Dec 15, 2014 Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 2, 2021 Accepting new patients
SSM Medical Group Inc. CurrentSince Dec 15, 2014 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
West County Adult Medicine, LLC PastSince Jul 1, 2008 Accepting new patients

Locations

2 Saint Anthonys Way
Ste 300
Alton, IL 62002
Phone (618) 462-2226

2 Memorial Dr
Ste 102
Alton, IL 62002
Phone (618) 288-0900

6812 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

111 Saint Lukes Center Dr
Ste 40
Chesterfield, MO 63017
Phone (314) 434-3433

215 Dunn Rd
Florissant, MO 63031
Phone (314) 315-9911

20 Progress Point Pkwy
Ste 202
O Fallon, MO 63368
Phone (314) 993-6401

400 1st Capitol Dr
Ste 301
Saint Charles, MO 63301
Phone (636) 625-7715

1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268

12855 N 40 Dr
Ste 375
Saint Louis, MO 63141

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

450 N New Ballas Rd
Ste 70
Saint Louis, MO 63141
Phone (314) 315-9911

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

112 Piper Hill Dr
Ste 12
Saint Peters, MO 63376
Phone (314) 806-1770

Interoperability endpoints

  • Direct secure messaging: ronanlev@slus.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1871602573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PIPER HILL DR",
            "address_2": "STE 12",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761690",
            "telephone_number": "636-244-4205",
            "fax_number": "636-244-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PIPER HILL DR",
            "address_2": "STE 12",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761690",
            "telephone_number": "636-939-9202",
            "fax_number": "636-939-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEV",
        "first_name": "RONAN",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2004001649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208363507",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.