SSM HEALTH MEDICAL GROUP
NPI 1073880480
Internal Medicine - Cardiovascular Disease in Louisiana, MO

Q: What is Ssm Depaul Medical Group, Inc.'s NPI number?

The NPI number for Ssm Depaul Medical Group, Inc. is 1073880480. It was assigned to this organization in the NPPES registry on November 30, 2011. The provider is doing business as Ssm Health Medical Group.

Q: What is Ssm Depaul Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since November 30, 2011

2305 GEORGIA ST, LOUISIANA, MO 63353(314) 291-0846(573) 754-6056 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ssm Health Medical Group NPPES

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

SSM HEALTH MEDICAL GROUP (NPI 1073880480) is a healthcare organization registered as a cardiovascular disease in Louisiana, Missouri and active in the NPI registry since November 2011. The organization lists Laura Pullum, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1073880480

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameSSM DEPAUL MEDICAL GROUP, INC.

Location Address2305 GEORGIA STLouisiana, MO 63353-2559

Mailing Address1551 Wall St, Suite 310Saint Charles, MO 63303-3539 · (636) 669-2268 · Fax (314) 209-8127

Phone(314) 291-0846

Fax(573) 754-6056

Organization SubpartNo

Authorized OfficialLaura PullumBilling Manager · (636) 669-2434

Enumeration DateNovember 30, 2011

Last NPPES UpdateJanuary 15, 2016

✔ NPI 1073880480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2305 GEORGIA ST, Louisiana, MO 63353

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Other Names 1

Doing Business AsSsm Health Medical Group

Other Identifiers 1

Medicare PINMA3910MO

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

Other Providers at the Same Location NPPES 17

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

DR. SUDHIR KAPOOR MBBS, MD, ABIM.

Internal Medicine (Critical Care Medicine)