Active NPI
John W Hubert, M.D.
- Cardiovascular Disease Physician
- Saint Louis, MO
National Provider Identifier
1902882202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R7109
- Practice address
- 625 S New Ballas Rd
Suite 2015
Saint Louis, MO 63141-8253 - Phone
- (314) 251-1700
- Fax
- (314) 251-1701
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R7109 | MO | Primary |
Addresses
Primary practice location
625 S New Ballas Rd
Suite 2015
Saint Louis, MO 63141-8253
Mailing address
625 S New Ballas Rd
Suite 2015
Saint Louis, MO 63141-8253
Phone (314) 251-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201167590 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Children'S Heart Center, LLC | Current | Accepting new patients | |
| St. Anthony'S Physician Organization | Past | Accepting new patients | |
| Metro Heart Group of St. Louis, Inc. | Past | Accepting new patients | |
| Mercy Clinic Surgical Specialists-Illinois LLC | Past | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Past | Accepting new patients | |
| Mercy Clinic Specialists Services-Illinois LLC | Past | Accepting new patients | |
| Mercy Support Services | Past | Accepting new patients | |
| Mercy Clinic Post Acute Services, LLC | Past | Accepting new patients | |
| St. John'S Mercy Support Services | Cardiovascular Disease | Past | Accepting new patients |
| Mercy Clinic Anesthesiology - Washington, LLC | Past | Accepting new patients |
Locations
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
Interoperability endpoints
- jhubert1774@directc.mercy.net
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Washington, MO
- NPI 1407860711
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Saint Louis, MO
- NPI 1841565835
-
- Pediatric Cardiology Physician
- St Louis, MO
- NPI 1144399338
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1528192416
-
- Clinic/Center
- Saint Louis, MO
- NPI 1265572812
-
- Specialist
- Festus, MO
- NPI 1487650545
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1073979027
-
- Cardiovascular Disease Physician
- Washington, MO
- NPI 1912020397
-
- Hematology & Oncology Physician
- Maryville, IL
- NPI 1578017596
-
- Surgery Physician
- Maryville, IL
- NPI 1043713886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1902882202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S NEW BALLAS RD",
"address_2": "SUITE 2015",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418253",
"telephone_number": "314-251-1700",
"fax_number": "314-251-1701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S NEW BALLAS RD",
"address_2": "SUITE 2015",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418253",
"telephone_number": "314-251-1700",
"fax_number": "314-251-1701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBERT",
"first_name": "JOHN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R7109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201167590",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.