Ssm Health Care St. Louis
NPI 1366400855 · Emergency Medicine Physician · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1366400855
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ssm Healthcare St. Louis
- Organization subpart
- Yes
- Authorized official
- Karen Rewerts, Vp Finance(314) 768-8000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nuclear Medicine Physician207U00000X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Cytopathology Physician207ZC0500X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Ssm Health St. Mary'S Hospital Physician Billing
- Doing business as
- Ssm Health St. Mary'S Hospital Physician Billing
Additional practice locations (3)
- 900 E Walnut St Ste 5Carbondale, IL 62901-3132Phone: (618) 519-9182
- 1191 Fortune Blvd Ste 1O Fallon, IL 62269-7377Phone: (618) 206-6101
- 1035 Bellevue Ave Ste 205Saint Louis, MO 63117-1846Phone: (314) 768-8230
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.