DR. SIROTH CHARNOND (M.D.) – Internal Medicine Physician, NPI 1265421218
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for DR. SIROTH CHARNOND (M.D.)
2420 State St
East Saint Louis, IL 622052321
Phone: (618) 318-8809
Type: Location
16659 E 23rd St S
Independence, MO 640551922
Phone: (816) 688-6000
Fax: (816) 631-1885
Type: Location
3863A Gravois Ave
Saint Louis, MO 631164657
Phone: (314) 888-0981
Fax: (314) 442-7794
Type: Location
8033 W Florissant Ave Ste A
Jennings, MO 631361412
Phone: (314) 888-0971
Fax: (314) 408-7062
Type: Location
7421, South Outer 364, Dardenne Prairie, Saint Charles County, Missouri, 63368, United States
DARDENNE PRAIRIE, MO 633687014
Phone: (636) 561-8100
Fax: (636) 561-3396
Type: Mailing
PO BOX 746715
ATLANTA, GA 303746715
Phone: (314) 888-0970
Fax: (314) 408-7063
Type: Mailing
3451 UNION BLVD
SAINT LOUIS, MO 631151142
Phone: (314) 888-0970
Fax: (314) 408-7063
Type: Location
3451 Union Blvd
Saint Louis, MO 631151142
Phone: (314) 888-0970
Fax: (314) 408-7063
Type: Location
PO BOX 740019
ATLANTA, GA 303740019
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2023-07-11 • Largest payer in this snapshot: Novo Nordisk Inc ($32).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $32 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100818000515 | I | Internal Medicine | MO | TBD |
| I20211122000121 | I | Internal Medicine | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 74 | 57 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 38 | 38 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 19 | $0 |
Insurance plans in this area (ZIP 62205)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MO | 81002 | Urinalysis, manual test | 18 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Emergency Medicine, Family Practice, Preventive Medicine | GA | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | MO |
Reviews
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