Active NPI
George Vieweg Thieroff III, MD
- Pediatric Rheumatology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rheumatology Physician
- License
- 2025040384
- Practice address
- 1465 S Grand Blvd
Saint Louis, MO 63104-1003 - Phone
- (314) 633-7365
- NPI assigned
- Apr 27, 2016
- Last updated
- Oct 6, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2025040384 | MO | |
| Rheumatology Physician | 207RR0500X | 2025040384 | MO | |
| Pediatric Rheumatology Physician | 2080P0216X | 2025040384 | MO | Primary |
Addresses
Primary practice location
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Mailing address
1101 E Marshall St # 980663
Richmond, VA 23298-5008
Phone (804) 828-9357
Other practice location 1
1250 E Marshall St
Box 980163
Richmond, VA 23298-5051
Phone (804) 828-9357
Other practice location 2
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 633-7365
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
- Pediatric Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (314) 577-5641
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025040384 | MO | MD | Pediatric Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Internal Medicine | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Medical Group Inc. | Past | Accepting new patients |
Locations
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-1320
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
Organizations & group practices 3
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.
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
dba SSM Health Medical Group
- Durable Medical Equipment & Medical Supplies
- Fenton, MO
- NPI 1124579966
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Cardinal Glennon Children's Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
dba SSM Health St. Mary's Hospital - St. Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
dba SSM Health Saint Louis University Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1912352931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E MARSHALL ST # 980663",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985008",
"telephone_number": "804-828-9357",
"fax_number": "804-828-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041003",
"telephone_number": "314-633-7365"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St",
"address_2": "Box 980163",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985051",
"country_code": "US",
"telephone_number": "804-828-9357",
"fax_number": "804-828-5466",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041016",
"country_code": "US",
"telephone_number": "314-633-7365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THIEROFF",
"first_name": "GEORGE",
"middle_name": "VIEWEG",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-27",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2025040384",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MO",
"license": "2025040384",
"primary": false
},
{
"code": "2080P0216X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "MO",
"license": "2025040384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Valsamma James Thevary, NP
- Thi of Missouri at Gravois, LLC (Sunset Hills Health & Rehabilitation Center)
- Suzanne Renee Thibodeaux, MD PHD
- Courtney Allison Thielan, FNP
- Natalie Joanne Thiele, AUD., CCC-A
- William Earl Thinnes, MD
- Liu Lin Thio, MD
- Vineeth Thirunavu, MD
- Brooke Thoele, BA
- Mark S W. Thoelke, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.