Individual provider Active NPI

Samer Alkaade, M D

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1982648259
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2000156761 Issued in MO
Practice address
10012 Kennerly Rd Ste 404
Saint Louis, MO 63128
Phone
(314) 543-5911
NPI assigned
Jun 16, 2006
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
205131303MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512000157 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 0941299044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Gastroenterology LLCGroup PAC ID 8628121795, 66 clinicians

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

ProcedureNumber of procedures
Colonoscopy32
Upper gastrointestinal (GI) endoscopy for acid reflux440

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Gastroenterology, LLC Gastroenterology CurrentSince Jan 1, 2020 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 PastSince Oct 1, 1999 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.