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SSM HEALTH MEDICAL GROUP
NPI 1063960409
Durable Medical Equipment & Medical Supplies in Saint Louis, MO

Active since September 14, 2016CLIA Certified · 3 labs
816 S KIRKWOOD RD, SUITE 105, SAINT LOUIS, MO 63122(314) 686-4990 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ssm Health Medical Group NPPES

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

SSM HEALTH MEDICAL GROUP (NPI 1063960409) is a healthcare organization registered as a durable medical equipment & medical supplies in Saint Louis, Missouri and active in the NPI registry since September 2016. The organization holds 3 active CLIA laboratory certificates and lists Barbara Pulliam, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1063960409
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSSM MEDICAL GROUP INC.
Location Address816 S KIRKWOOD RD, SUITE 105Saint Louis, MO 63122-6056
Mailing Address1551 Wall St, Suite 310Saint Charles, MO 63303-3539 · (636) 669-2268 · Fax (314) 209-8127
Phone(314) 686-4990
Organization SubpartNo
Authorized OfficialBarbara PulliamExecutive Director · (636) 669-2455
Enumeration DateSeptember 14, 2016
✔ NPI 1063960409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
816 S KIRKWOOD RD, Saint Louis, MO 63122
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Other Names 1

Doing Business AsSsm Health Medical Group

Other Identifiers 1

Medicare PIN990001373MO

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

CLIA Laboratory Certificates CMS CLIA 3

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 26D2262894

Ssm Health Medical Group Kirkwood Pediatrics · Kirkwood, MO
Active · expires Jun 20, 2028
CLIA Number26D2262894
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorJaya Barina
Laboratory Phone(314) 623-1838
Laboratory LocationSsm Health Medical Group Kirkwood Pediatrics816 S Kirkwood Road Suite 200, Kirkwood, MO 63122
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D0441039

Ssm Medical Group Inc · Saint Charles, MO
Active · expires Mar 27, 2027
CLIA Number26D0441039
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorDaniel J. Kramer
Laboratory Phone(636) 669-2350
Laboratory LocationSsm Medical Group Inc711 Veterans Memorial Pkwy #300, Saint Charles, MO 63303
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D0439072

Ssm Health Medical Group Kirkwood Ob/Gyn · Kirkwood, MO
Active · expires Aug 31, 2026
CLIA Number26D0439072
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDaniel J. Baumann
Laboratory Phone(314) 644-6262
Laboratory LocationSsm Health Medical Group Kirkwood Ob/Gyn816 South Kirkwood Rd, Ste 100, Kirkwood, MO 63122
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

METROPOLITAN OBSTETRICS GYNECOLOGY UROGYNECOLOGY,PC
Obstetrics & Gynecology
816 S KIRKWOOD RD, SUITE 100
KIRKWOOD, MO 63122
St. Louis County (314) 686-4990
EDWARD S LEVY M.D.
Obstetrics & Gynecology
816 S KIRKWOOD RD, SUITE 100
SAINT LOUIS, MO 63122
St. Louis County (314) 686-4990
DR. EDWARD CHUN-KUAN CHEN M.D.
Family Medicine
816 S KIRKWOOD RD, SUITE 210
SAINT LOUIS, MO 63122
St. Louis County (314) 822-6830
MARIA D SABIO, MD, PC
Allergy & Immunology (Allergy)
816 S KIRKWOOD RD, SUITE 200
KIRKWOOD, MO 63122
St. Louis County (314) 821-2100
RICHARD A HARTMAN MD
Obstetrics & Gynecology
816 S KIRKWOOD RD, SUITE 100
SAINT LOUIS, MO 63122
St. Louis County (314) 686-4990
NARISSA MARASSO NP
Nurse Practitioner (Psychiatric/Mental Health)
816 S KIRKWOOD RD
SAINT LOUIS, MO 63122
St. Louis County (636) 939-2550
MRS. MEGAN NICOLE FJELLANGER
Nurse Practitioner (Family)
816 S KIRKWOOD RD, SUITE 210
KIRKWOOD, MO 63122
St. Louis County (314) 822-6830
MARIA D SABIO MD,
Allergy & Immunology (Allergy)
816 S KIRKWOOD RD, SUITE 200
KIRKWOOD, MO 63122
St. Louis County (314) 821-2100

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 Ssm Medical Group Inc.'s NPI number?

The NPI number for Ssm Medical Group Inc. is 1063960409. It was assigned to this organization in the NPPES registry on September 14, 2016. The provider is doing business as Ssm Health Medical Group.

Where is Ssm Medical Group Inc. located?

Ssm Medical Group Inc. is located at 816 S Kirkwood Rd Suite 105, Saint Louis, MO 63122. The listed phone number is (314) 686-4990.

What is Ssm Medical Group Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Ssm Medical Group Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ssm Medical Group Inc. was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.