SSM HEALTH MEDICAL GROUP - NPI 1194033316 - Durable Medical Equipment & Medical Supplies in Maryland Heights, MO

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

The NPI number for Ssm Medical Group Inc. is 1194033316. It was assigned to this organization in the NPPES registry on September 22, 2010. The provider is doing business as Ssm Health Medical Group.

Q: 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.

On this page

About Ssm Health Medical Group NPPES

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

SSM HEALTH MEDICAL GROUP (NPI 1194033316) is a healthcare organization registered as a durable medical equipment & medical supplies in Maryland Heights, Missouri and active in the NPI registry since September 2010. The organization holds a CLIA Microscopy certificate valid through January 27, 2028 and lists Karen Rewerts, Vp Financial Operations, as its authorized official.

NPPES Registry Identity

NPI1194033316

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSSM MEDICAL GROUP INC.

Location Address2024 DORSETT VLGMaryland Heights, MO 63043

Mailing AddressPo Box 955534Saint Louis, MO 63195-5534 · (636) 498-5973

Phone(314) 590-0550

Fax(314) 590-0560

Organization SubpartNo

Authorized OfficialKaren RewertsVp Financial Operations · (314) 989-2034

Enumeration DateSeptember 22, 2010

Last NPPES UpdateAugust 18, 20204 updates tracked since enumeration

NPPES CertifiedAugust 18, 2020

✔ NPI 1194033316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPodiatristTaxonomy 213E00000X

2024 DORSETT VLG, Maryland Heights, MO 63043

Open in Google Maps ↗

Other Names 1

Doing Business AsSsm Health Medical Group

Other Identifiers 1

Medicaid502915705MO

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

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 for Provider-Performed Microscopy Procedures (PPMP) 26D2178132

Ssm Health Medical Group · Maryland Heights, MO

Active · expires Jan 27, 2028

CLIA Number26D2178132

Laboratory TypePhysician Office

Certificate Effective DateJanuary 28, 2026

Certificate Expiration DateJanuary 27, 2028

Laboratory DirectorHamnah Siddiqui

Laboratory Phone(314) 590-0550

Laboratory LocationSsm Health Medical Group2024 Dorsett Village, Maryland Heights, MO 63043

CLIA data matches this NPI record on: Name Phone

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 13

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

TRAVIS COBB DO

Family Medicine