NPIMap

Individual provider Active NPI

Kevin D Weikart, M.D.

  • Internal Medicine Physician
  • O'Fallon, MO
National Provider Identifier
1902864986
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MOMDR5G33 Issued in MO
Practice address
1002 Peruque Crossing CT Ste 102
O Fallon, MO 63366-2381
Phone
(636) 294-5900
Fax
(636) 294-5908
NPI assigned
May 1, 2006
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MOMDR5G33 MO Primary

Addresses

Primary practice location

1002 Peruque Crossing CT Ste 102
O Fallon, MO 63366-2381

Mailing address

1002 Peruque Crossing CT Ste 101
O Fallon, MO 63366-2381
Phone (636) 887-0812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060831000294 MO Practitioner - Internal Medicine 7719981968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

1002 Peruque Crossing CT
O Fallon, MO 63366-2380
Phone (636) 887-0812

1002 Peruque Crossing CT
Suite 101
O Fallon, MO 63366-2381

7212 Balson Ave
Saint Louis, MO 63130-3001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MOMDR5G33MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Jan 1, 2016 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

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

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

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229

1002 Peruque Crossing Ct
Ste 101
O Fallon, MO 63366
Phone (636) 294-5900

Interoperability endpoints

  • Direct secure messaging: kweikart15704@direct-ehr-ssmhc.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Loving Care HospiceWentzville, MO, CCN 261594 Hospice Contracted Managing Employee Mar 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • LHCG XXV LLC

    dba Community Loving Care Hospice

    • Community Based Hospice Care Agency
    • Wentzville, MO
    • NPI 1417252529

    Contracted Managing Employee

    CMS ownership

Organizations & group practices 4

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 7

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1902864986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 PERUQUE CROSSING CT STE 101",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662381",
            "telephone_number": "636-887-0812",
            "fax_number": "636-237-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 PERUQUE CROSSING CT STE 102",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662381",
            "telephone_number": "636-294-5900",
            "fax_number": "636-294-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIKART",
        "first_name": "KEVIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MOMDR5G33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.