SSM HEALTH CARE ST LOUIS
NPI 1275586174
Emergency Medicine in Fenton, MO

Active since May 19, 2006
1015 BOWLES AVENUE, FENTON, MO 63026(636) 496-2502 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2026, Mar 26, 2026, Mar 12, 2019 and 1 more (4 updates tracked since 2015).

About Ssm Health Care St Louis NPPES

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

SSM HEALTH CARE ST LOUIS (NPI 1275586174), doing business as Ssm Health St Clare Fenton, is a healthcare organization registered as an emergency medicine in Fenton, Missouri and active in the NPI registry since May 2006. The organization maintains 2 additional practice locations and lists Jeremy Fotheringham, Regional President, as its authorized official.

NPPES Registry Identity

NPI1275586174
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameSSM HEALTH CARE ST LOUIS
Location Address1015 BOWLES AVENUEFenton, MO 63026
Mailing Address12800 Corporate Hill DrSaint Louis, MO 63131-1833 · (557) 203-1486 · Fax (314) 344-7239
Organization SubpartYesParent: Ssm Health Care St. Louis
Authorized OfficialJeremy FotheringhamRegional President · (636) 496-2000
Enumeration DateMay 19, 2006
Last NPPES UpdateJune 2, 20264 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1275586174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
1015 BOWLES AVENUE, Fenton, MO 63026

Other Names 3

Doing Business AsSsm Health St Clare Fenton
Doing Business AsSsm Health St Clare Hospital
Doing Business AsSsm Health St. Clare Hospital Physician Billing

Secondary Practice Locations 2

Location 11011 Bowles AveFenton, MO 63026-2395 · Phone (557) 203-1486 · Fax (314) 344-7239
Location 21296 Jeffco Blvd Ste BArnold, MO 63010-2138 · Phone (636) 321-8604 · Fax (314) 344-7281

Other Identifiers 1

Medicaid545011009MO

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

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 Care St Louis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

739

Medicare enrollment records show 739 clinicians reassign Medicare billing to Ssm Health Care St Louis, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 131 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 40

Nurse Practitioner216
Pediatric Medicine109
Obstetrics/Gynecology71
Psychiatry53
Internal Medicine43
Cardiovascular Disease (Cardiology)40
Family Practice27
Clinical Social Worker22
32 other specialties158

Nearest to this location (20)

See all 739
Family Practice
NPI 1417337676
1015 BOWLES AVE
Fenton, MO 63026
(636) 496-2000
✔ PECOSSame address
Surgical Oncology
NPI 1407004872
1011 BOWLES AVE STE G10
Fenton, MO 63026
(636) 496-5453
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083120208
1011 BOWLES AVE
Fenton, MO 63026
(636) 496-5438
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1104872068
1011 BOWLES AVENUE SUITE 121
Fenton, MO 63026
(314) 766-2066
✔ PECOSSame address
Diagnostic Radiology
NPI 1609295815
1011 BOWLES AVE
Fenton, MO 63026
(314) 989-6430
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1710397393
1011 BOWLES AVE STE 300
Fenton, MO 63026
(636) 496-5065
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1144262429
1011 BOWLES AVE STE 300
Fenton, MO 63026
(636) 496-5065
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1003287079
1011 BOWLES AVE STE 300
Fenton, MO 63026
(636) 496-5065
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1841725918
1345 SMIZER MILL RD
Fenton, MO 63026
(636) 496-5023
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1952335408
1345 SMIZER MILL RD STE 1100
Fenton, MO 63026
(636) 496-5022
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1033578117
1345 SMIZER MILL RD STE 1100
Fenton, MO 63026
(636) 496-5022
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1083684468
1203 SMIZER MILL RD STE 106
Fenton, MO 63026
(636) 717-1390
✔ PECOS0.4 mi
Cardiovascular Disease (Cardiology)
NPI 1881745909
1203 SMIZER MILL RD SUITE 102
Fenton, MO 63026
(314) 251-1700
✔ PECOS✔ Accepts Medicare0.4 mi
General Surgery
NPI 1518997394
10 BOWLES AVE
Fenton, MO 63026
(636) 496-2502
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1356747513
774 GRAVOIS BLUFFS BLVD STE B
Fenton, MO 63026
(636) 685-7734
✔ PECOS✔ Accepts Medicare2.2 mi
Pediatric Medicine
NPI 1154740629
1511 PLOMA DR
Manchester, MO 63021
(314) 304-8298
✔ PECOS3.2 mi
Internal Medicine
NPI 1306109384
621 S BALLAS RD STE 7020
Saint Louis, MO 63122
(314) 251-6000
✔ PECOS✔ Accepts Medicare3.8 mi
Obstetrics/Gynecology
NPI 1588844542
3555 SUNSET OFFICE DR SUITE 107
Saint Louis, MO 63127
(314) 238-9000
✔ PECOS✔ Accepts Medicare4.0 mi
Cardiac Electrophysiology
NPI 1437182128
2325 DOUGHERTY FERRY RD SUITE 205
Saint Louis, MO 63122
(314) 965-0017
✔ PECOS✔ Accepts Medicare4.1 mi
Hospitalist
NPI 1699733691
13610 BARRETT OFFICE DR SUITE 110
Manchester, MO 63021
(314) 909-4700
✔ PECOS✔ Accepts Medicare4.6 mi
See all 739 clinicians

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

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 Health Care St Louis's NPI number?

The NPI number for Ssm Health Care St Louis is 1275586174. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as SSM Health St Clare Fenton, SSM Health St Clare Hospital and SSM Health St. Clare Hospital Physician Billing.

Where is Ssm Health Care St Louis located?

Ssm Health Care St Louis is located at 1015 Bowles Avenue, Fenton, MO 63026. The listed phone number is (636) 496-2502.

What is Ssm Health Care St Louis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ssm Health Care St Louis enrolled in Medicare?

Yes. Ssm Health Care St Louis is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ssm Health Care St Louis?

According to the CMS Revalidation Reassignment List (October 2026 release), 739 clinicians in 40 Medicare specialties reassign their Medicare billing to Ssm Health Care St Louis. 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 (216), Pediatric Medicine (109) and Obstetrics/Gynecology (71). Of these, 8 practice at this address and 131 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ssm Health Care St Louis 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 Health Care St Louis 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 Health Care St Louis was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.