NPIMap

Individual provider Active NPI

Craig R Smith, MD

  • Surgery Physician
  • Saint Charles, MO
National Provider Identifier
1962519785
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
108607 Issued in MO
Practice address
330 1St Capitol Dr Ste 100a
Saint Charles, MO 63301-2846
Phone
(636) 669-2332
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 108607 MO Primary

Addresses

Primary practice location

330 1St Capitol Dr Ste 100a
Saint Charles, MO 63301-2846

Mailing address

PO Box 60352
Saint Louis, MO 63160-0352
Phone (314) 991-4644

Other practice location 1

12266 De Paul Dr Ste 305
Bridgeton, MO 63044-2514
Phone (314) 770-0991

Other practice location 2

555 N New Ballas Rd
Div Surg ACCS, Ste 265
Saint Louis, MO 63141-6825
Phone (314) 991-4644

Other identifiers 1

IdentifierTypeStateIssuer
203941307MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20040422000995 MO Practitioner - General Surgery 6406842749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

12266 De Paul Dr
Suite 305
Bridgeton, MO 63044-2514
Phone (314) 770-0991

Hospital & facility affiliations

  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059
  • Osf Saint Anthony'S Health Center Hospital, Alton, IL, CCN 140052

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue57
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108607MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. CurrentSince Aug 14, 2024 Accepting new patients
SSM Medical Group Inc. CurrentSince Aug 14, 2024 Accepting new patients
Vein Specialties and Medi-Spa, LLC PastSince Aug 1, 2016 Accepting new patients
Lincoln Surgical Group Surgery Past Accepting new patients
Midwest Vascular & General Surgery, Inc Past Accepting new patients
Overland Medical Center Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Lincoln Surgical Associates, LTD. Surgery PastSince Oct 1, 2010 Accepting new patients

Locations

12266 De Paul Dr
Ste 305
Bridgeton, MO 63044
Phone (314) 770-0991

330 1st Capitol Dr
Ste 100A
Saint Charles, MO 63301
Phone (636) 669-2332

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

Interoperability endpoints

  • Direct secure messaging: csmith11096@direct.carenet.org
  • Direct secure messaging: csmith520640@direct-ehr-ssmhc.com

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1962519785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60352",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631600352",
            "telephone_number": "314-991-4644",
            "fax_number": "866-342-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 1ST CAPITOL DR STE 100A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012846",
            "telephone_number": "636-669-2332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12266 De Paul Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442514",
            "country_code": "US",
            "telephone_number": "314-770-0991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 N New Ballas Rd",
            "address_2": "Div Surg ACCS, Ste 265",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416825",
            "country_code": "US",
            "telephone_number": "314-991-4644",
            "fax_number": "866-342-0133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRAIG",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "108607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203941307",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "555 N New Ballas Rd",
            "address_2": "Div Surg ACCS, Ste 265",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.