Active NPI
Sarah Price, M.D.
- Pediatrics Physician
- Belleville, IL
National Provider Identifier
1992095723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 336102099
- Practice address
- 4600 Memorial Dr
Belleville, IL 62226-5368 - Phone
- (314) 283-7458
- NPI assigned
- Apr 13, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P8528 | TX | |
| Pediatrics Physician | 208000000X | 336102099 | IL | Primary |
Addresses
Primary practice location
4600 Memorial Dr
Belleville, IL 62226-5368
Mailing address
4600 Memorial Dr
Belleville, IL 62226-5368
Phone (314) 283-7458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336102099 | IL | MD | Pediatrics Physician |
| P8528 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Depaul Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
| SSM Health Care St. Louis | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- sprice287102@direct-ehr-ssmhc.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Maryland Heights, MO
- NPI 1760456743
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473033600000",
"number": "1992095723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MEMORIAL DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265368",
"telephone_number": "314-283-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MEMORIAL DR",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265368",
"telephone_number": "314-283-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "SARAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-13",
"last_updated": "2016-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P8528",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "336102099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.