NPIMap

Individual provider Active NPI

Briccio Silvestre Cadiz III, M.D.

  • Internal Medicine Physician
  • Festus, MO
National Provider Identifier
1932182722
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
103016 Issued in MO
Practice address
1447 US Highway 61 Ste B
Festus, MO 63028-4151
Phone
(636) 937-7903
Fax
(636) 937-7602
NPI assigned
Nov 25, 2005
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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 103016 MO Primary

Addresses

Primary practice location

1447 US Highway 61 Ste B
Festus, MO 63028-4151

Mailing address

2440 Wimbledon Estates Drive
Festus, MO 63028-4274
Phone (636) 937-7903

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
I20090310000449 MO Practitioner - Internal Medicine 2264598648 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, shared by 6 NPIs, 573 clinicians
Ste Genevieve County Memorial HospitalGroup PAC ID 3274432802, shared by 9 NPIs, 74 clinicians

Practice addresses (Care Compare)

1447 US Hwy 61
Suite B
Festus, MO 63028-4151
Phone (636) 543-2820

1500 Calvary Church Rd
Festus, MO 63028-4125
Phone (636) 933-2900

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

621 S New Ballas Rd
Suite 189a
Saint Louis, MO 63141-8255
Phone (314) 251-6335

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

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
103016MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Internal Medicine CurrentSince Feb 7, 2022 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Nov 5, 2012 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 1, 2008 Accepting new patients
Mercy Clinic East Communities Internal Medicine CurrentSince Feb 7, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

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

1447 US Highway 61
Ste B
Crystal Cty, MO 63028
Phone (636) 937-7812

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

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

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

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

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Interoperability endpoints

  • Direct secure messaging: bcadiz470146@directc.mercy.net

Organizations & group practices 6

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 11

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1932182722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 WIMBLEDON ESTATES DRIVE",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284274",
            "telephone_number": "636-937-7903",
            "fax_number": "636-937-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 US HIGHWAY 61 STE B",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284151",
            "telephone_number": "636-937-7903",
            "fax_number": "636-937-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADIZ",
        "first_name": "BRICCIO",
        "middle_name": "SILVESTRE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "103016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.