Individual provider Active NPI

Benjamin Douglas Fite, PA-C

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1972498541
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2025032286 Issued in MO
Practice address
621 S New Ballas Rd Ste 7011B
Saint Louis, MO 63141-8275
Phone
(314) 251-6840
NPI assigned
Jun 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2025032286 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 7011B
Saint Louis, MO 63141-8275

Mailing address

15573 Country Ridge Dr
Chesterfield, MO 63017-7455
Phone (314) 607-2586

Other practice location 1

901 Patients First Dr
Washington, MO 63090-4700
Phone (314) 251-6970

Other practice location 2

625 S New Ballas Rd Ste R-7040
Saint Louis, MO 63141-8240
Phone (314) 251-6970

Other practice location 3

10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Phone (314) 251-6970

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250919003770 MO Practitioner - Physician Assistant 6608370747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

625 S New Ballas Rd
R 7040
Saint Louis, MO 63141-8253
Phone (314) 251-6970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325

625 S New Ballas Rd
#R7040
Saint Louis, MO 63141

625 S New Ballas Rd
Ste R7040
Saint Louis, MO 63141
Phone (314) 251-5756

901 Patients First Dr
Ste 2500
Washington, MO 63090

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1972498541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15573 COUNTRY RIDGE DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177455",
            "telephone_number": "314-607-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 7011B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418275",
            "telephone_number": "314-251-6840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Patients First Dr",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630904700",
            "country_code": "US",
            "telephone_number": "314-251-6970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 S New Ballas Rd Ste R-7040",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418240",
            "country_code": "US",
            "telephone_number": "314-251-6970",
            "fax_number": "314-251-1053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10012 Kennerly Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282197",
            "country_code": "US",
            "telephone_number": "314-251-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITE",
        "first_name": "BENJAMIN",
        "middle_name": "DOUGLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2025032286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.