OrganizationActive
Ssm Medical Group
NPI 1023218898 · Internal Medicine Physician · Fenton, MO
Provider details
- NPI number
- 1023218898
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Bieser, Executive Director(314) 822-5900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1011 Bowles Ave
Suite 300
Fenton, MO 63026-2387
Phone: (636) 496-5000
Fax: (636) 496-5045
Street-level locationGet directions
Mailing address
1011 Bowles Ave
Fenton, MO 63026-2387
Other names (DBA / former)
- Doing business as
- Suburban West Internal Medicine
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2009-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.