Kiflom Seyoum Gebreslassea, M.D

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

FL089 Issued in KY

Practice address

SSM Health/Saint Louis University School of Medicine
1402 South Grand Blvd, St. Louis, Mo 63104
St. Louis, MO 63104

Phone

(314) 617-2408

Fax

(314) 617-2534

NPI assigned

Jun 13, 2024

Reactivated

Apr 29, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Nuclear MedicineAlso: Diagnostic Radiology

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1992548564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S GRAND BLVD RM M260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041004",
            "telephone_number": "314-617-2408",
            "fax_number": "314-617-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SSM HEALTH/SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE",
            "address_2": "1402 SOUTH GRAND BLVD, ST. LOUIS, MO 63104",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-617-2408",
            "fax_number": "314-617-2534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405360293",
            "country_code": "US",
            "telephone_number": "859-323-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEBRESLASSEA",
        "first_name": "KIFLOM",
        "middle_name": "SEYOUM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "deactivation_date": "2025-01-17",
        "reactivation_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "KY",
            "license": "FL089",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2024028926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanuel Zewdu Gebeyehu, CRNA
• Tricia Lea Gebhard-Lovell, P-LPC
• Jamie Gebhardt, LPC
• Renee M Gebhart, MSW, LCSW
• Ledya Gebrehiwot, MD
• Mehret Gebretsadik, M.D.
• William Michael Gee, MD
• Robert Geekie, M.D.
• Sharon E Geekie, RD, LD
• Geered2Talk LLC

• Nuclear Radiology Physician in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Nuclear Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.

Verify at the official NPI Registry.