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SOUTHAMPTON COMMUNITY HEALTHCARE INC
NPI 1013677293
Internal Medicine in Saint Louis, MO

Active since December 29, 2021CLIA 26D0866547 · Waiver
2340 HAMPTON AVE, SAINT LOUIS, MO 63139(314) 647-2200(314) 647-4172 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 18, 2025, Jun 11, 2024, Dec 29, 2021 (3 updates tracked since 2021).

About Southampton Community Healthcare Inc NPPES

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

SOUTHAMPTON COMMUNITY HEALTHCARE INC (NPI 1013677293) is a healthcare organization registered as an internal medicine in Saint Louis, Missouri and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Matthew Marshall, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013677293
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHAMPTON COMMUNITY HEALTHCARE INC
Location Address2340 HAMPTON AVESaint Louis, MO 63139-2935
Mailing Address2340 Hampton AveSaint Louis, MO 63139-2935 · (314) 647-2200 · Fax (314) 647-4172
Phone(314) 647-2200
Fax(314) 647-4172
Organization SubpartNo
Authorized OfficialMatthew MarshallOffice Manager · (314) 647-2200
Enumeration DateDecember 29, 2021
Last NPPES UpdateNovember 18, 20253 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1013677293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
2340 HAMPTON AVE, Saint Louis, MO 63139
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southampton Community Healthcare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Southampton Community Healthcare Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Julia Garza, MD
Family Practice
NPI 1235796616
2340 HAMPTON AVE
Saint Louis, MO 63139
(314) 647-2200
✔ PECOS✔ Accepts MedicareSame address
David Prelutsky, MD
Internal Medicine
NPI 1457354276
2340 HAMPTON AVE
Saint Louis, MO 63139
(314) 647-2200
✔ PECOS✔ Accepts MedicareSame address
Samuel Tochtrop, DO
Internal Medicine
NPI 1619537735
2340 HAMPTON AVE
Saint Louis, MO 63139
(314) 647-2200
✔ PECOS✔ Accepts MedicareSame address
Michael Donovan, M.D.
Family Practice
NPI 1669852448
6420 CLAYTON RD ROOM 2234, SLU FAMILY MEDICINE RESIDENCY
Saint Louis, MO 63117
(314) 951-7230
✔ PECOS✔ Accepts Medicare1.8 mi
Nicole Carr, RN, BSN, MSN, FNP-BC
Nurse Practitioner
NPI 1184244717
3545 LAFAYETTE AVE
Saint Louis, MO 63104
(314) 977-9050
✔ PECOS✔ Accepts Medicare2.7 mi
Aida Trivic, N.P.
Nurse Practitioner
NPI 1386971323
802 MEL CARNAHAN DR APT 2015
Hillsboro, MO 63050
(636) 543-2290
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0866547

Southampton Community Healthcare · Saint Louis, MO
Active · expires Jan 27, 2028
CLIA Number26D0866547
Laboratory TypeCommunity Clinic
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorMichael F. Donovan
Laboratory Phone(314) 647-2200
Laboratory LocationSouthampton Community Healthcare2340 Hampton Avenue, Saint Louis, MO 63139
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southampton Community Healthcare Inc's NPI number?

The NPI number for Southampton Community Healthcare Inc is 1013677293. It was assigned to this organization in the NPPES registry on December 29, 2021.

Where is Southampton Community Healthcare Inc located?

Southampton Community Healthcare Inc is located at 2340 Hampton Ave, Saint Louis, MO 63139. The listed phone number is (314) 647-2200.

What is Southampton Community Healthcare Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Southampton Community Healthcare Inc enrolled in Medicare?

Yes. Southampton Community Healthcare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southampton Community Healthcare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Southampton Community Healthcare Inc, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Southampton Community Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0866547) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southampton Community Healthcare Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Southampton Community Healthcare Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southampton Community Healthcare Inc was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.