Individual provider Active NPI

Richard Scott Herman, M.D.

  • Pediatric Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1972750289
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
MD045047L Issued in PA
Practice address
160 E Erie Ave
Philadelphia, PA 19134-1011
Phone
(215) 427-5000
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 248869 NY
Surgery Physician 208600000X 4301095218 MI
Surgical Critical Care Physician 2086S0102X 4301095218 MI
Pediatric Surgery Physician 2086S0120X 25MA10685300 NJ
Pediatric Surgery Physician 2086S0120X 0001893 MT
Pediatric Surgery Physician 2086S0120X 4301095218 MI
Pediatric Surgery Physician 2086S0120X 01082101A IN
Pediatric Surgery Physician 2086S0120X 22683 MS
Pediatric Surgery Physician 2086S0120X 35.126281 OH
Pediatric Surgery Physician 2086S0120X 2020040870 MO
Pediatric Surgery Physician 2086S0120X 036.153521 IL
Pediatric Surgery Physician 2086S0120X MD045047L PA Primary

Addresses

Primary practice location

160 E Erie Ave
Philadelphia, PA 19134-1011

Mailing address

1145 Corporate Lake Dr
Saint Louis, MO 63132-2907
Phone (314) 989-6189

Other practice location 1

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-4809

Other practice location 2

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-3015

Other practice location 3

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (314) 577-5600

Other practice location 4

400 N 9th St
Springfield, IL 62702-5310
Phone (217) 545-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, PA, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210112000947 MO Practitioner - General SurgeryPractitioner - Pediatric Medicine 6305032988 Reassigns benefits to 4 organizations
I20230714000572 PA Practitioner - General Surgery 6305032988 Reassigns benefits to 1 organization
I20250609001582 IL Practitioner - General Surgery 6305032988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Pediatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone (314) 577-5641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.153521ILMDPediatric Surgery Physician
2020040870MOMDPediatric Surgery Physician
25MA10685300NJMDPediatric Surgery Physician
MD045047LPAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Nov 1, 2021 Accepting new patients
STC Pediatrics LLC Current Accepting new patients
The Metrohealth System Current Accepting new patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Nov 1, 2021 Accepting new patients
STC Pediatrics LLC CurrentSince Jul 26, 2023 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Apr 4, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 18, 2021 Accepting new patients
SSM Health Care Group CurrentSince Apr 28, 2023 Accepting new patients
SSM Health Care Group Surgery CurrentSince Apr 28, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 18, 2021 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Apr 4, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jan 18, 2021 Accepting new patients
STC Pediatrics LLC Pediatric Surgery CurrentSince Jul 26, 2023 Accepting new patients
SSM Medical Group Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
SSM Cardinal Glennon Children'S Hospital Past Accepting new patients
Siu Physicians & Surgeons, Inc Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182

400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498

448 State Highway 248
Ste 150
Branson, MO 65616
Phone (417) 336-6713

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

621 S New Ballas Rd
Ste 63B
Saint Louis, MO 63141
Phone (314) 251-3500

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

621 S New Ballas Rd
Ste 483A
Saint Louis, MO 63141
Phone (314) 251-2095

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

1965 S Fremont Ave
Ste 300
Springfield, MO 65804
Phone (417) 820-2936

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067

300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363

Interoperability endpoints

  • Direct secure messaging: rherman407733@direct-ehr-ssmhc.com
  • Direct secure messaging: rherman162212@direct.metrohealth.org

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1972750289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 CORPORATE LAKE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322907",
            "telephone_number": "314-989-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ERIE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191341011",
            "telephone_number": "215-427-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-984-4809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-3015",
            "fax_number": "216-844-8687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1465 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041003",
            "country_code": "US",
            "telephone_number": "314-577-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627025310",
            "country_code": "US",
            "telephone_number": "217-545-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "248869",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301095218",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MI",
            "license": "4301095218",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NJ",
            "license": "25MA10685300",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MT",
            "license": "0001893",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MI",
            "license": "4301095218",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "IN",
            "license": "01082101A",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MS",
            "license": "22683",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "OH",
            "license": "35.126281",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MO",
            "license": "2020040870",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "IL",
            "license": "036.153521",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PA",
            "license": "MD045047L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.