Active NPI
Anthony Mark Masi, M.D.
- Sleep Medicine (Internal Medicine) Physician
- Ballwin, MO
National Provider Identifier
1902884844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- R3P21
- Practice address
- 13975 Manchester Rd
Suite 7
Ballwin, MO 63011-4500 - Phone
- (636) 391-1222
- Fax
- (636) 333-1259
- NPI assigned
- Dec 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | R3P21 | MO | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | R3P21 | MO | Primary |
Addresses
Primary practice location
13975 Manchester Rd
Suite 7
Ballwin, MO 63011-4500
Mailing address
13975 Manchester Rd
Suite 7
Ballwin, MO 63011-4500
Phone (636) 391-1222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203472246 | Medicaid | MO | |
| 290015378 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13975 Manchester Rd
Suite 7
Manchester, MO 63011-4500
Phone (636) 391-1222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3P21 | MO | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Sleep Diagnostics, Inc. | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| SSM Health Care St. Louis | Pulmonary Disease | Past | Accepting new patients |
| Susan Masi Counseling Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Pulmonary Disease Physician
- Manchester, MO
- NPI 1841487097
-
- Sleep Disorder Diagnostic Clinic/Center
- Manchester, MO
- NPI 1780652115
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Pulmonary Disease
-
- Professional Counselor
- Ballwin, MO
- NPI 1851842074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1902884844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13975 MANCHESTER RD",
"address_2": "SUITE 7",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114500",
"telephone_number": "636-391-1222",
"fax_number": "636-333-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13975 MANCHESTER RD",
"address_2": "SUITE 7",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114500",
"telephone_number": "636-391-1222",
"fax_number": "636-333-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASI",
"first_name": "ANTHONY",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-31",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "R3P21",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MO",
"license": "R3P21",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203472246",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290015378",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.