Organization provider

SIGNATURE MEDICAL GROUP, INC

Allergy Physician Dermatology Physician Gastroenterology Physician Medicare enrolled

SIGNATURE MEDICAL GROUP, INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1871542761, based in Saint Louis, MO. The organization lists 11 taxonomy classifications, with Orthopaedic Surgery Physician recorded as primary.

Getting there

The practice address on file is 12639 OLD TESSON RD SUITE 115, Saint Louis, MO 63128. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12639 OLD TESSON RD SUITE 115, Saint Louis, MO 63128 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
4880598291
Enrollment ID
O20031204000173

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Orthopaedic Surgery covers

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. NUCC Health Care Provider Taxonomy, code 207X00000X
Allopathic & Osteopathic Physicians Orthopaedic Surgery

All registered taxonomy codes

This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207KA0200X Allergy Physician Allergy
207N00000X Dermatology Physician MO
207RG0100X Gastroenterology Physician Gastroenterology MO
207T00000X Neurological Surgery Physician MO
207V00000X Obstetrics & Gynecology Physician
207VX0201X Gynecologic Oncology Physician Gynecologic Oncology MO
207X00000X Orthopaedic Surgery Physician primary
208000000X Pediatrics Physician MO
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine
208600000X Surgery Physician MO
208C00000X Colon & Rectal Surgery Physician MO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1871542761 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 8, 2006
Last updatedAug 8, 2024
StatusActive
Practice address 12639 OLD TESSON RD
SUITE 115
Saint Louis, MO 63128
(314) 849-0311
Fax (314) 849-4423
Other identifiers 3223 · Other (MO)
377225 · Other (MO)
501357701 · Medicaid (MO)
7217344 · Other (MO)
CY0091 · Other (MO)
This record was updated on Aug 8, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1871542761 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 8 7 1 5 4 2 7 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 8 5 1 1 4 4 7 3

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1871542761?
NPI 1871542761 is the National Provider Identifier assigned to SIGNATURE MEDICAL GROUP, INC in Saint Louis, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Orthopaedic Surgery Physician cover?
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital…
How do I contact SIGNATURE MEDICAL GROUP, INC?
The phone number on file with NPPES is (314) 849-0311, last updated Aug 8, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SIGNATURE MEDICAL GROUP, INC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1871542761 a valid number?
Yes. 1871542761 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.