Individual provider Active NPI

Deniane John, MD

  • Family Medicine Physician
  • Ste Genevieve, MO
National Provider Identifier
1881256014
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2022030257 Issued in MO
Practice address
753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820
Phone
(573) 883-2782
Fax
(573) 883-3681
NPI assigned
Jul 9, 2019
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125-075238 IL
Family Medicine Physician 207Q00000X 2022030257 MO Primary

Addresses

Primary practice location

753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820

Mailing address

PO Box 366
Ste Genevieve, MO 63670-0366
Phone (573) 883-4473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MT2 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
I20220929000876 MO Practitioner - Family Practice 4981933439 Reassigns benefits to 3 organizations
I20260115002162 MT Practitioner - Family Practice 4981933439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ste Genevieve County Memorial HospitalGroup PAC ID 3274432802, shared by 9 NPIs, 74 clinicians

Practice addresses (Care Compare)

16 N Miles Ave
Suite 101
Hardin, MT 59034-2356
Phone (406) 237-8270

2019 Broadwater Ave
Billings, MT 59102-4810
Phone (406) 237-8855

255 Boderman
Bloomsdale, MO 63627-9099
Phone (573) 483-9492

753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820
Phone (573) 883-2782

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022030257MOMDFamily Medicine Physician
125-075238ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group - Billings, LLC CurrentSince Jan 5, 2026 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 1, 2022 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 1, 2022 Accepting new patients
SCL Health Medical Group - Billings, LLC Family Medicine CurrentSince Jan 5, 2026 Accepting new patients
Ste Genevieve County Memorial Hospital Past Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199

575 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-7424

590 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-4455

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

Interoperability endpoints

  • Direct secure messaging: djohn@mhccaremail.com

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 3

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1881256014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636700366",
            "telephone_number": "573-883-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 POINTE BASSE DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701820",
            "telephone_number": "573-883-2782",
            "fax_number": "573-883-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "DENIANE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125-075238",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2022030257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ste Genevieve, MO

Sources for this page

Verify at the official NPI Registry.