Active NPI
Samer Alkaade, M D
- Gastroenterology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2000156761
- Practice address
- 10012 Kennerly Rd Ste 404
Saint Louis, MO 63128 - Phone
- (314) 543-5911
- NPI assigned
- Jun 16, 2006
- Last updated
- Jul 22, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 55536 | MN | |
| Gastroenterology Physician | 207RG0100X | 2000156761 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd Ste 404
Saint Louis, MO 63128
Mailing address
10012 Kennerly Rd Ste 404
Saint Louis, MO 63128-2197
Phone (314) 543-5911
Other practice location 1
10012 Kennerly Rd Ste 404
Saint Louis, MO 63128
Phone (314) 543-5911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205131303 | Medicaid | MO |
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
- Gastroenterology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Brevco PLZ
Suite 208
Lake St Louis, MO 63367-2950
Phone (636) 561-9020
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-2880
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 32 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 440 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Gastroenterology, LLC | Gastroenterology | Current | Accepting new patients |
| Chaganti and Associates PC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc. | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Sam Hawatmeh, M D, P C | Past | Accepting new patients |
Locations
200 Brevco Plz
Ste 208
Lake St Louis, MO 63367
Phone (314) 251-3880
10012 Kennerly Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 525-4225
10012 Kennerly Rd
Ste 104
Saint Louis, MO 63128
Phone (314) 543-5911
10012 Kennerly Rd
Ste 404
Saint Louis, MO 63128
Phone (314) 543-5911
Interoperability endpoints
- salkaade1030613@directc.mercy.net
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1528295334
-
dba Mental Health Specialists
- Psychiatry Physician
- Saint Louis, MO
- NPI 1366565103
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1386684736
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1952345795
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1982648259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 404",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-543-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 404",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63128",
"telephone_number": "314-543-5911"
}
],
"practiceLocations": [
{
"address_1": "10012 Kennerly Rd Ste 404",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "63128",
"country_code": "US",
"telephone_number": "314-543-5911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALKAADE",
"first_name": "SAMER",
"name_prefix": "Dr.",
"credential": "M D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MN",
"license": "55536",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2000156761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205131303",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.