Individual provider Active NPI

Philip L Mar, M.D., PHARM.D.

  • Clinical Cardiac Electrophysiology Physician
  • Saint Louis, MO
National Provider Identifier
1982999462
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
2019015018 Issued in MO
Practice address
3635 Vista Ave FL 15
Saint Louis, MO 63110-2539
Phone
(314) 268-7975
NPI assigned
Jun 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 2019015018 MO Primary
Cardiovascular Disease Physician 207RC0000X 2019015018 MO

Addresses

Primary practice location

3635 Vista Ave FL 15
Saint Louis, MO 63110-2539

Mailing address

550 S Jackson St
Louisville, KY 40202-1622
Phone (502) 852-5241

Other practice location 1

1800 N Capitol Ave Bldg E371
Indianapolis, IN 46202-1218
Phone (317) 962-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190626002001 MO Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6507141306 Reassigns benefits to 1 organization
I20200318000149 IL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6507141306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Deaconess Illinois Specialty Clinic, Inc.Group PAC ID 9830562016, 145 clinicians

Practice addresses (Care Compare)

10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647

1034 S Brentwood Blvd
Suite 1120
Saint Louis, MO 63117-1211
Phone (314) 977-4663

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

1225 S Grand Blvd
Saint Louis, MO 63104-1016

3331 W Deyoung St
Marion, IL 62959-5896
Phone (618) 998-7600

3635 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 257-7400

3655 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 977-4663

3685 Vista Ave
Saint Louis, MO 63110-2539
Phone (314) 257-7000

6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8208

Hospital & facility affiliations

  • SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105
  • Heartland Regional Medical Center Hospital, Marion, IL, CCN 140184
  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Jan 14, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. CurrentSince Jan 14, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 25, 2024 Accepting new patients
SSM Health Care Group Cardiovascular Disease CurrentSince Jul 1, 2022 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Cardiovascular Disease Current Accepting new patients
SSM-Sluh Inc Past Accepting new patients

Locations

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

3331 W Deyoung St
Marion, IL 62959
Phone (618) 985-9140

3331 W Deyoung St
Ste 305
Marion, IL 62959
Phone (618) 998-7089

3331 W Deyoung St
Ste 100
Marion, IL 62959
Phone (618) 998-7600

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

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

3635 Vista Ave
Fl 15
Saint Louis, MO 63110
Phone (314) 268-7975

Interoperability endpoints

  • Direct secure messaging: pmar143@yourcarecommunity.org
  • Direct secure messaging: pmar312301@direct-ehr-ssmhc.com
  • Direct secure messaging: phillip.mar.1@27782.direct.athenahealth.com
  • Direct secure messaging: pmar422575@direct.deaconess.com

Organizations & group practices 8

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 5

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1982999462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021622",
            "telephone_number": "502-852-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE FL 15",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-268-7975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Capitol Ave Bldg E371",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021218",
            "country_code": "US",
            "telephone_number": "317-962-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAR",
        "first_name": "PHILIP",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D., PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": "2019015018",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2019015018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.