SSM Health Medical Group - Family Medicine – Rural Health Clinic/Center, NPI 1588601777

SSM Health Medical Group - Family Medicine is a healthcare provider. based in Chicago, Illinois. specializing in Rural Health Clinic/Center. The NPI Number for SSM Health Medical Group - Family Medicine is 1588601777

Main info

Organization
Name
SSM Health Medical Group - Family Medicine
NPI
1588601777
Phone
(557) 203-1551
Address
7655 SOLUTIONS CTR
Authorized Official
SHASTA RENE MANUEL REGIONAL VICE PRESIDENT FINANCE/CFO
Enumeration Date
31 May 2006
Last Update Date
16 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness90
Years active:20State licenses:0Digital endpoints

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Provider Addresses for SSM Health Medical Group - Family Medicine

  • 7655 SOLUTIONS CTR

    CHICAGO, IL 606777006

    Phone: (557) 203-1551

    Fax: (314) 989-6721

    Type: Mailing

  • 5, Giltedge Road, Munford, Tipton County, West Tennessee, Tennessee, 38058, United States

    TIPTON, MO 650818441

    Phone: (660) 433-5541

    Fax: (660) 433-5717

    Type: Location

  • 1027, Rockland Road, Jones Corner, Jefferson, Lincoln County, Maine, 04348, United States

    JEFFERSON CITY, MO 651021027

    Phone: (573) 681-3767

    Fax: (573) 761-6947

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-06-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-12-31 (167 days ago).

Enrollment records

2

Earliest due date

2025-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20041105000902OClinic/Group PracticeMO2025-12-31
O20140623001891ORural Health ClinicMOTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60677)

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Reviews

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Frequently asked questions

Does SSM Health Medical Group - Family Medicine share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SSM Health Medical Group - Family Medicine uses 1588601777.
Is SSM Health Medical Group - Family Medicine still practicing?
SSM Health Medical Group - Family Medicine is currently listed as active in the public NPI registry.
What is SSM Health Medical Group - Family Medicine's specialty?
The listing groups SSM Health Medical Group - Family Medicine with Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What area does SSM Health Medical Group - Family Medicine serve?
SSM Health Medical Group - Family Medicine's listing highlights Chicago, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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