Southeast Missouri Hospital Physicians, LLC
NPI 1558311522 · Family Medicine Physician · Cape Girardeau, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Missouri Hospital Physicians, LLC is a Family Medicine Physician organization in Cape Girardeau, MO (NPI 1558311522).
Provider details
- NPI number
- 1558311522
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Krista Berry, Cfo(573) 331-6028
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Hematology & Oncology Physician207RH0003X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Mercy Clinic Southeast
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2024-01-13
- Certified
- 2024-01-13
Frequently asked questions
- What is Southeast Missouri Hospital Physicians, LLC's NPI number?
- Southeast Missouri Hospital Physicians, LLC's National Provider Identifier (NPI) is 1558311522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Missouri Hospital Physicians, LLC?
- Southeast Missouri Hospital Physicians, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southeast Missouri Hospital Physicians, LLC located?
- Southeast Missouri Hospital Physicians, LLC's practice location on file with NPPES is 1701 Lacey St, Cape Girardeau, MO 63701-5230.
- What is Southeast Missouri Hospital Physicians, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Missouri Hospital Physicians, LLC is (573) 331-6880.
- Does Southeast Missouri Hospital Physicians, LLC accept Medicare?
- Southeast Missouri Hospital Physicians, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeast Missouri Hospital Physicians, LLC?
- The authorized official listed on Southeast Missouri Hospital Physicians, LLC's NPPES record is Krista Berry, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Missouri Hospital Physicians, LLC's NPI active?
- Yes — Southeast Missouri Hospital Physicians, LLC's NPI (1558311522) is active in the NPPES registry as of the last update on 2024-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.