Southeast Missouri Hospital Physicians LLC
NPI 1619245503 · Rural Health Clinic/Center · Cape Girardeau, MO
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Missouri Hospital Physicians LLC is a Rural Health Clinic/Center organization in Cape Girardeau, MO (NPI 1619245503).
Provider details
- NPI number
- 1619245503
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Southeast Missouri Hospital Physicians LLC
- Organization subpart
- Yes
- Authorized official
- Krista Berry, Cfo(573) 331-6028
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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 Southeast Pediatrics
Registry dates
- Enumerated
- 2011-12-06
- 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 1619245503, 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 Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeast Missouri Hospital Physicians LLC located?
- Southeast Missouri Hospital Physicians LLC's practice location on file with NPPES is 25 Doctors Park, Cape Girardeau, MO 63703-4927.
- 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) 331-6750.
- 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 (1619245503) 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.