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SSM HEALTH CARDINAL GLENNON PEDIATRICS
NPI 1073568226
Pediatrics in Saint Louis, MO

Active since May 24, 2006CLIA Certified · 5 labs
2927 S . KINGS HIGHWAY BLVD, SAINT LOUIS, MO 63139(314) 268-4070(314) 268-4019 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2022, Mar 21, 2019, Feb 19, 2019 and 4 more (7 updates tracked since 2017).

About Ssm Health Cardinal Glennon Pediatrics NPPES

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

SSM HEALTH CARDINAL GLENNON PEDIATRICS (NPI 1073568226) is a healthcare organization registered as a pediatrics in Saint Louis, Missouri and active in the NPI registry since May 2006. The organization holds 5 active CLIA laboratory certificates, maintains 8 additional practice locations, and lists Karen Rewerts, System Vice President Finance, as its authorized official.

NPPES Registry Identity

NPI1073568226
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSSM CARDINAL GLENNON CHILDRENS HOSPITAL
Location Address2927 S . KINGS HIGHWAY BLVDSaint Louis, MO 63139-1008
Mailing Address1173 Corporate Lake DrSaint Louis, MO 63132-1716 · (314) 989-6843 · Fax (314) 344-7239
Phone(314) 268-4070
Fax(314) 268-4019
Organization SubpartYesParent: Ssm Cardinal Glennon Children's Hospital
Authorized OfficialKaren RewertsSystem Vice President Finance · (314) 989-6843
Enumeration DateMay 24, 2006
Last NPPES UpdateNovember 18, 20227 updates tracked since enumeration
NPPES CertifiedNovember 14, 2022
✔ NPI 1073568226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2927 S . KINGS HIGHWAY BLVD, Saint Louis, MO 63139
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Other Names 1

Doing Business AsSsm Health Cardinal Glennon Pediatrics

Secondary Practice Locations 8

Location 16800 State Route 162Maryville, IL 62062-2512 · Phone (618) 288-5711
Location 212255 DePaul Drive Ste 300Bridgeton, MO 63044-2512 · Phone (314) 344-6021
Location 39553 Lackland RoadSt.Louis, MO 63114-2512 · Phone (314) 429-7733 · Fax (314) 429-3194
Location 412303 De Paul DrBridgeton, MO 63044-2512 · Phone (314) 344-6000 · Fax (314) 344-6840
Location 53878 Pershall RdFerguson, MO 63135-1246 · Phone (314) 344-6021 · Fax (314) 344-7281
Location 6511 Ashland Ave Ste AWarrenton, MO 63383-1065 · Phone (636) 456-0572
Location 7132 Professional PkwyTroy, MO 63379-2823 · Phone (636) 462-5437
Location 84129 North Highway 67Florissant, MO 63034-2512 · Phone (314) 355-6390 · Fax (314) 355-2417

Other Identifiers 3

Other26D2159157Clia
Medicaid505459107MO
Medicaid540155801MO

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)

Ssm Health Cardinal Glennon Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

452

Medicare enrollment records show 452 clinicians reassign Medicare billing to Ssm Health Cardinal Glennon Pediatrics, which bills Medicare for the services they deliver. Of these, 64 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Nurse Practitioner116
Pediatric Medicine113
Diagnostic Radiology35
Psychiatry33
Pathology19
Obstetrics/Gynecology17
Registered Dietitian or Nutrition Professional17
Qualified Audiologist12
25 other specialties90

Nearest to this location (20)

See all 452
Kathryn Kranbuhl, M.D.
Pediatric Medicine
NPI 1629041884
13001 N OUTER 40 RD STE 320
Town And Country, MO 63017
(314) 567-7337
✔ PECOS1.0 mi
Mary Hoff
Occupational Therapist in Private Practice
NPI 1730689100
113 HAWTHORNE EST
Saint Louis, MO 63131
(314) 363-7285
✔ Accepts Medicare1.7 mi
Morgan Baldwin, RN CPNP
Nurse Practitioner
NPI 1295023836
3009 N. BALLAS ROAD SUITE 141
St. Louis, MO 63131
(314) 994-0209
✔ PECOS1.8 mi
Candace Benford, PMHNP
Nurse Practitioner
NPI 1679205140
3009 N BALLAS RD DEPT PSYCHIATRY, STE 141A
Saint Louis, MO 63131
(314) 286-1700
✔ PECOS✔ Accepts Medicare1.8 mi
Julie Bryant, PMHNP
Nurse Practitioner
NPI 1912749532
3009 N BALLAS RD DEPT PSYCHIATRY, STE 141A
Saint Louis, MO 63131
(314) 286-1700
✔ PECOS✔ Accepts Medicare1.8 mi
Vilaas Shetty, M.D.
Diagnostic Radiology
NPI 1164577540
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6031
✔ PECOS✔ Accepts Medicare2.3 mi
Paula Casey, MD
Pediatric Medicine
NPI 1629107958
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6598
✔ PECOS2.3 mi
Katherine Johnson, M.S., CCC-SLP
Qualified Speech Language Pathologist
NPI 1205477825
224 S WOODS MILL RD STE 640S
Chesterfield, MO 63017
(314) 970-6335
2.3 mi
Ali Malik, M.D.
Interventional Radiology
NPI 1225391592
641 N NEW BALLAS RD
Creve Coeur, MO 63141
(585) 376-2545
✔ PECOS✔ Accepts Medicare2.3 mi
Kirubahara Vaheesan, MD
Interventional Radiology
NPI 1982891271
641 N NEW BALLAS RD
Saint Louis, MO 63141
(314) 888-4647
✔ PECOS✔ Accepts Medicare2.3 mi
Asif Habib, MD
Psychiatry
NPI 1124000104
522 N NEW BALLAS RD STE 334
Saint Louis, MO 63141
(314) 989-0542
✔ PECOS✔ Accepts Medicare2.5 mi
Samantha Weyhrich, RD, LD
Registered Dietitian or Nutrition Professional
NPI 1013696384
456 N NEW BALLAS RD STE 386
Creve Coeur, MO 63141
(314) 887-7605
3.4 mi
Kortny Dusek, CPNP
Nurse Practitioner
NPI 1770234734
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6299
✔ PECOS3.5 mi
Erika Gotway
Nurse Practitioner
NPI 1902505795
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6000
✔ PECOS✔ Accepts Medicare3.5 mi
Maya Moody, D.O.
Pediatric Medicine
NPI 1659682946
615 S. NEW BALLAS ROAD MERCY JFK CLINIC
Saint Louis, MO 63141
(314) 251-6382
✔ PECOS3.5 mi
Jennifer Orbe, DO
Pediatric Medicine
NPI 1629498555
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6090
✔ PECOS3.5 mi
Jennifer Goldkamp, M.D.
Obstetrics/Gynecology
NPI 1225291636
621 S NEW BALLAS RD STE 2007B
Saint Louis, MO 63141
(314) 991-5000
✔ PECOS✔ Accepts Medicare3.5 mi
Matthew Pieper, D.O.
General Surgery
NPI 1598920647
621 S NEW BALLAS RD STE 560A
Saint Louis, MO 63141
(314) 251-6440
✔ PECOS✔ Accepts Medicare3.5 mi
Mohamad Al-Hosni, M.D.
Pediatric Medicine
NPI 1053351338
14443 WHITE BIRCH VALLEY LN
Chesterfield, MO 63017
(314) 629-5671
✔ PECOS3.7 mi
Debra Quick, M.S., CCC-A
Qualified Audiologist
NPI 1659578011
10094 LITZSINGER RD
Saint Louis, MO 63124
(636) 391-9622
4.0 mi
See all 452 clinicians

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 5

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 26D0891778

Ssm Health Cardinal Glennon Pediatrics · Florissant, MO
Active · expires Aug 13, 2028
CLIA Number26D0891778
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2026
Certificate Expiration DateAugust 13, 2028
Laboratory DirectorSeth Brownridge
Laboratory Phone(314) 355-6390
Laboratory LocationSsm Health Cardinal Glennon Pediatrics4129 N Hwy 67, Florissant, MO 63034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D0954509

Ssm Health Cardinal Glennon Pediatrics-Depaul · Bridgeton, MO
Active · expires Nov 30, 2026
CLIA Number26D0954509
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorOmar Maatouk
Laboratory Phone(314) 268-4095
Laboratory LocationSsm Health Cardinal Glennon Pediatrics-Depaul12255 Depaul Drive Suite 300-302, Bridgeton, MO 63044
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2178214

Ssm Health Cardinal Glennon Pediatric Urgent Care · Ferguson, MO
Active · expires Jan 28, 2028
CLIA Number26D2178214
Laboratory TypeUrgent Care
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorTrevor L. Tredway
Laboratory Phone(314) 738-2786
Laboratory LocationSsm Health Cardinal Glennon Pediatric Urgent Care3878 Pershall Rd, Ferguson, MO 63135
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2159157

Ssm Health Cardinal Glennon Pediatric Specialty Clinic · Ferguson, MO
Active · expires Dec 11, 2026
CLIA Number26D2159157
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorMelissa Novacich
Laboratory Phone(314) 577-5394
Laboratory LocationSsm Health Cardinal Glennon Pediatric Specialty Clinic3878 Pershall Road, Ferguson, MO 63135
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2347850

Ssm Health Cardinal Glennon Danis Pediatric · Saint Louis, MO
Active · expires Jul 26, 2028
CLIA Number26D2347850
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2026
Certificate Expiration DateJuly 26, 2028
Laboratory DirectorJoshua D. Arthur
Laboratory Phone(314) 268-4070
Laboratory LocationSsm Health Cardinal Glennon Danis Pediatric1465 S Grand Ave, Saint Louis, MO 63104
CLIA data matches this NPI record on: 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 Ssm Cardinal Glennon Childrens Hospital's NPI number?

The NPI number for Ssm Cardinal Glennon Childrens Hospital is 1073568226. It was assigned to this organization in the NPPES registry on May 24, 2006. The provider is doing business as Ssm Health Cardinal Glennon Pediatrics.

Where is Ssm Cardinal Glennon Childrens Hospital located?

Ssm Cardinal Glennon Childrens Hospital is located at 2927 S . Kings Highway Blvd, Saint Louis, MO 63139. The listed phone number is (314) 268-4070.

What is Ssm Cardinal Glennon Childrens Hospital's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ssm Cardinal Glennon Childrens Hospital enrolled in Medicare?

Yes. Ssm Cardinal Glennon Childrens Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ssm Cardinal Glennon Childrens Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 452 clinicians in 33 Medicare specialties reassign their Medicare billing to Ssm Cardinal Glennon Childrens Hospital. 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. The largest specialties are Nurse Practitioner (116), Pediatric Medicine (113) and Diagnostic Radiology (35). Of these, 64 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ssm Cardinal Glennon Childrens Hospital hold CLIA laboratory certificates?

Yes. 5 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.

What insurance does Ssm Cardinal Glennon Childrens Hospital 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 Ssm Cardinal Glennon Childrens Hospital 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 Ssm Cardinal Glennon Childrens Hospital was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.