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SSM HEALTH MEDICAL GROUP
NPI 1528503133
Durable Medical Equipment & Medical Supplies in Troy, MO

Active since January 05, 2017CLIA 26D0441352 · Microscopy
172 PROFESSIONAL PKWY, TROY, MO 63379(636) 462-6106 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 18, 2020, Oct 16, 2018, Jul 18, 2018 and 1 more (4 updates tracked since 2017).

About Ssm Health Medical Group NPPES

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

SSM HEALTH MEDICAL GROUP (NPI 1528503133) is a healthcare organization registered as a durable medical equipment & medical supplies in Troy, Missouri and active in the NPI registry since January 2017. The organization holds a CLIA Microscopy certificate valid through April 25, 2028 and lists Karen Rewerts, Vp Financial Operations, as its authorized official.

NPPES Registry Identity

NPI1528503133
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSSM MEDICAL GROUP INC.
Location Address172 PROFESSIONAL PKWYTroy, MO 63379
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(636) 462-6106
Organization SubpartNo
Authorized OfficialKaren RewertsVp Financial Operations · (314) 989-2034
Enumeration DateJanuary 5, 2017
Last NPPES UpdateAugust 18, 20204 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1528503133 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 ListedPodiatristTaxonomy 213E00000X
172 PROFESSIONAL PKWY, Troy, MO 63379
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Other Names 1

Doing Business AsSsm Health Medical Group

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) 26D0441352

Ssm Health Medical Group · Troy, MO
Active · expires Apr 25, 2028
CLIA Number26D0441352
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorStanley Sachak
Laboratory Phone(636) 462-6106
Laboratory LocationSsm Health Medical Group172 Professional Parkway, Troy, MO 63379
CLIA data matches this NPI record on: Address 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 6

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

DR. ANNE MARIE MAESTAS DPM
Podiatrist (Foot & Ankle Surgery)
172 PROFESSIONAL PKWY
TROY, MO 63379
Lincoln County (636) 462-6106
ALICIA D KING D.O.
Family Medicine
172 PROFESSIONAL PKWY
TROY, MO 63379
Lincoln County (636) 462-6106
DR. STANLEY KYLE SACHAK MD
Family Medicine
172 PROFESSIONAL PKWY
TROY, MO 63379
Lincoln County (636) 462-6106
MRS. AMANDA KAY NOAH FNP-BC
Nurse Practitioner (Family)
172 PROFESSIONAL PKWY
TROY, MO 63379
Lincoln County (636) 462-6106
MADYSEN TAYLAR LILLEY FNP-BC
Nurse Practitioner (Family)
172 PROFESSIONAL PKWY
TROY, MO 63379
Lincoln County (636) 462-6106
BRANDI ESCALANTE STREET MD
Family Medicine
172 PROFESSIONAL PKWY
TROY, MO 63379
Lincoln County (636) 462-6106

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 1528503133. It was assigned to this organization in the NPPES registry on January 5, 2017. The provider is doing business as Ssm Health Medical Group.

Where is Ssm Medical Group Inc. located?

Ssm Medical Group Inc. is located at 172 Professional Pkwy, Troy, MO 63379. The listed phone number is (636) 462-6106.

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 a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0441352) is associated with this NPI, valid through April 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ssm Medical Group Inc. was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.