FAIRVIEW HEIGHTS MEDICAL GROUP SC
NPI 1679503668
Clinic/Center - Multi-Specialty in Saint Louis, MO

Active since July 04, 2006
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141(314) 996-7644(314) 996-7658 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2025, Jul 16, 2020, Aug 11, 2016 (3 updates tracked since 2016).

About Fairview Heights Medical Group Sc NPPES

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

FAIRVIEW HEIGHTS MEDICAL GROUP SC (NPI 1679503668) is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since July 2006. The organization lists Karen Canter-koester, Vp Operations And Strategy, as its authorized official.

NPPES Registry Identity

NPI1679503668
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFAIRVIEW HEIGHTS MEDICAL GROUP SC
Location Address670 MASON RIDGE CENTER DR STE 300Saint Louis, MO 63141-8573
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Fax(314) 996-7658
Organization SubpartNo
Authorized OfficialKaren Canter-koesterVp Operations And Strategy · (314) 996-7610
Enumeration DateJuly 4, 2006
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1679503668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
670 MASON RIDGE CENTER DR STE 300, Saint Louis, MO 63141

Other Identifiers 1

Medicaid500720107MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairview Heights Medical Group Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20060302000596Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

569

Medicare enrollment records show 569 clinicians reassign Medicare billing to Fairview Heights Medical Group Sc, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 47 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 34

Nurse Practitioner167
Hospitalist72
Internal Medicine70
Family Practice50
Gastroenterology38
Interventional Cardiology30
Cardiovascular Disease (Cardiology)28
Neurology21
26 other specialties93

Nearest to this location (20)

See all 569
Emergency Medicine
NPI 1366400608
660 MASON RIDGE CENTER DR
Saint Louis, MO 63141
(314) 273-6481
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528496437
660 MASON RIDGE CENTER DR
Saint Louis, MO 63141
(144) 483-7913
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962720458
660 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
(618) 463-8500
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306285986
660 MASON RIDGE CENTER DR
Saint Louis, MO 63141
(314) 273-6481
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285745257
660 MASON RIDGE CENTER DR
Saint Louis, MO 63141
(314) 273-6481
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932617925
660 MASON RIDGE CENTER DR
Saint Louis, MO 63141
(314) 273-6481
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1992799225
660 MASON RIDGE CENTER DR
Saint Louis, MO 63141
(314) 273-6481
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013402544
660 MASON RIDGE CENTER DR
Saint Louis, MO 63141
(314) 273-6481
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629476668
660 MASON RIDGE CENTER DR
Saint Louis, MO 63141
(314) 273-6481
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144853193
3009 N BALLAS RD STE 383C
Saint Louis, MO 63131
(314) 305-1447
✔ PECOS✔ Accepts Medicare1.4 mi
Neurology
NPI 1477113546
3009 N BALLAS RD STE 102B
Saint Louis, MO 63131
(314) 996-7080
✔ PECOS✔ Accepts Medicare1.4 mi
Hospice/Palliative Care
NPI 1194384560
3009 N BALLAS RD STE 383C
Saint Louis, MO 63131
(314) 305-1447
✔ PECOS✔ Accepts Medicare1.4 mi
Hospice/Palliative Care
NPI 1306818182
3009 N BALLAS RD STE 383C
Saint Louis, MO 63131
(314) 305-1447
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1750787289
3009 N BALLAS RD STE 383C
Saint Louis, MO 63131
(314) 996-4546
✔ PECOS1.4 mi
Emergency Medicine
NPI 1699071266
3009 N BALLAS RD STE 383C
Saint Louis, MO 63131
(314) 996-7014
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1407387376
3009 N BALLAS RD STE 390C
Saint Louis, MO 63131
(314) 996-3575
✔ PECOS✔ Accepts Medicare1.4 mi
Obstetrics/Gynecology
NPI 1326067711
3009 N BALLAS RD STE 360C
Saint Louis, MO 63131
(314) 996-7220
✔ PECOS✔ Accepts Medicare1.4 mi
Interventional Cardiology
NPI 1417223447
3023 N BALLAS RD STE 200D
Saint Louis, MO 63131
(314) 996-7272
✔ PECOS✔ Accepts Medicare1.5 mi
Hospitalist
NPI 1396109880
3015 N BALLAS RD
Saint Louis, MO 63131
(314) 996-5772
✔ PECOS✔ Accepts Medicare1.5 mi
Gastroenterology
NPI 1295837441
615 S NEW BALLAS RD STE 1200
Saint Louis, MO 63141
(314) 251-2880
✔ PECOS✔ Accepts Medicare2.5 mi
See all 569 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 Fairview Heights Medical Group Sc's NPI number?

The NPI number for Fairview Heights Medical Group Sc is 1679503668. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Fairview Heights Medical Group Sc located?

Fairview Heights Medical Group Sc is located at 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141. The listed phone number is (314) 996-7644.

What is Fairview Heights Medical Group Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Fairview Heights Medical Group Sc enrolled in Medicare?

Yes. Fairview Heights Medical Group Sc is registered in the Medicare PECOS enrollment system.

When is Fairview Heights Medical Group Sc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fairview Heights Medical Group Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 569 clinicians in 34 Medicare specialties reassign their Medicare billing to Fairview Heights Medical Group Sc. 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 (167), Hospitalist (72) and Internal Medicine (70). Of these, 9 practice at this address and 47 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fairview Heights Medical Group Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Fairview Heights Medical Group Sc 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 Fairview Heights Medical Group Sc was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.