Dr. Kurtis Todd Sobush

M. D. | Pediatric Pulmonology | Male

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Complete Profile:

Dr. Kurtis Todd Sobush basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Pulmonology
Provider Name :	Dr. Kurtis Todd Sobush
Credential :	M. D.
Gender :	Male

Business Address:

Dr. Kurtis Todd Sobush address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1465 S Grand Blvd St. Louis, MO, 63104-1003 United States
Phone Number :	314-268-6439
Fax Number :	314-268-2798

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1821297490
NPI Entity Type :	Individual
First Enrolment Date :	13 Jul, 2007
Last Updated On :	12 Jan, 2021

Medicare Participation:

Dr. Kurtis Todd Sobush participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6305018342
Medicare Enrollment ID :	I20111017000439
Primary Specialty :	Pulmonary Disease
Medical School :	Saint Louis University School Of Medicine
Graduation Year :	2005
Accepts Medicare?	Yes. Dr. Kurtis Todd Sobush accepts medicare insurance.

Group Practice Association:

Dr. Kurtis Todd Sobush is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Kurtis Todd Sobush is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Ssm Health Care Group	0143608372	564	1465 S Grand Blvd Saint Louis, MO - 631041003 Ph: 3145775641	Yes
Ssm Health Care Group	0143608372	564	10101 Woodfield Ln Saint Louis, MO - 631322946 Ph: 6082804647	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kurtis Todd Sobush are as mentioned. Primary taxonomy code for Dr. Kurtis Todd Sobush, M. D. is 2080P0214X (Pediatrics Pediatric Pulmonology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	2011025418	MO
2080P0214X	Pediatrics Pediatric Pulmonology	Yes	2011025418	MO

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1465 S Grand Blvd Saint Louis, MO, 63104-1003 United States
Phone Number :	314-268-6439
Fax Number :	314-268-2798

Business Location:

Patients can refer following map for directions to Dr. Kurtis Todd Sobush practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.