Fairview Heights Medical Group Sc
NPI 1679503668 · Multi-Specialty Clinic/Center · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairview Heights Medical Group Sc is a Multi-Specialty Clinic/Center organization in Saint Louis, MO (NPI 1679503668).
Provider details
- NPI number
- 1679503668
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karen Canter-Koester, Vp Operations and Strategy(314) 996-7610
Specialties & taxonomies
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
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
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Fairview Heights Medical Group Sc's NPI number?
- Fairview Heights Medical Group Sc's National Provider Identifier (NPI) is 1679503668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairview Heights Medical Group Sc?
- Fairview Heights Medical Group Sc is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Fairview Heights Medical Group Sc located?
- Fairview Heights Medical Group Sc's practice location on file with NPPES is 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573.
- What is Fairview Heights Medical Group Sc's phone number?
- The practice phone number listed in the NPPES registry for Fairview Heights Medical Group Sc is (314) 996-7644.
- Does Fairview Heights Medical Group Sc accept Medicare?
- Fairview Heights Medical Group Sc 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 Fairview Heights Medical Group Sc?
- The authorized official listed on Fairview Heights Medical Group Sc's NPPES record is Karen Canter-Koester, Vp Operations and Strategy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairview Heights Medical Group Sc's NPI active?
- Yes — Fairview Heights Medical Group Sc's NPI (1679503668) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.