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ANDRE CAMILLE JOSEPH III MD
NPI 1003565920
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 18, 2022PECOS Enrolled
1402 S GRAND BLVD # M260, SAINT LOUIS, MO 63104(314) 257-8000 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andre Camille Joseph Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE CAMILLE JOSEPH III MD (NPI 1003565920) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003565920
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDRE CAMILLE JOSEPH IIICredential: MD
Location Address1402 S GRAND BLVD # M260Saint Louis, MO 63104-1004
Mailing Address2100 Boardman St Apt 229Saint Louis, MO 63110-3054 · (253) 278-8541
Phone(314) 257-8000
Sole ProprietorNo
Enumeration DateMarch 18, 2022
Last NPPES UpdateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1003565920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1402 S GRAND BLVD # M260, Saint Louis, MO 63104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andre Camille Joseph Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN F BREWER MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2919
RAINA D PATEL DO
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2408
NICHOLAS AFSHARI
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9851
JOSEPH HOYLE
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2359
BLAKE ANDERSON DO
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (618) 210-5609
ALIZABETH WEBER MD
Otolaryngology
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (509) 844-6535
DR. MICHAEL LUGO MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (714) 345-8727
BRIAR BROOKINGS MORROW DO
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD # M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-2601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Joseph's NPI number?

The NPI number for Andre Joseph is 1003565920. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Where is Andre Joseph located?

Andre Joseph practices at 1402 S Grand Blvd # M260, Saint Louis, MO 63104. The listed phone number is (314) 257-8000.

What is Andre Joseph's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andre Joseph enrolled in Medicare?

Yes. Andre Joseph is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andre Joseph was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.