Active NPI 1346444700 Individual Practitioner Male Practitioner

Dr. Michael Harry Mastromichalis , MD

Urology • Fenton, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mastromichalis, MD is a certified Urology practicing in Fenton, MO. With approximately 21 years of clinical experience since graduating from West Virginia University School Of Medicine in 2005, Dr. Mastromichalis delivers high-quality medical care to the local community at 1011 BOWLES AVE STE 425.

Dr. Mastromichalis is affiliated with Ths Physician Partners Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1011 Bowles Ave Ste 425

Fenton, MO 630262384

Telephone 6364965030

Fax 6364965025

Associated Practice Facility / Clinic

🏢 Enrique Pastrana, M.d., P.c Facility NPI 1841419827

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Fenton, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +7.7 yrs vs City Avg

City Avg: 13.3 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Fenton, MO (282 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mastromichalis (21 Years) 21 Yrs

Fenton Specialty Average (13.3 Years) 13.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	124	$243.05	$90.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	157	157	$373.90	$124.91
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$160.00	$61.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	29	$372.99	$136.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	11	$219.79	$75.07
52000 Diagnostic exam of bladder and urethra using an endoscope	24	23	$342.76	$73.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$620.51	$166.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$387.50	$124.22
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	12	$1791.35	$412.48
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	11	$2046.97	$128.99
55700 Biopsy of prostate gland	11	11	$505.82	$113.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$235.99	$28.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	181	$256.00	$123.10
81003 Automated urinalysis test	163	139	$16.00	$2.20
51798 Ultrasound measurement of bladder capacity after voiding	131	109	$62.00	$10.31
99213 Established patient office or other outpatient visit, typically 15 minutes	60	57	$182.00	$87.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$553.89	$126.05
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	37	14	$1695.14	$48.72
52000 Diagnostic exam of bladder and urethra using an endoscope	35	32	$592.00	$234.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$361.00	$174.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	20	$285.37	$93.45
74420 Imaging of urinary tract	20	16	$167.47	$23.73
51700 Simple bladder irrigation and/or instillation	20	16	$300.00	$74.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$235.77	$76.29
52000 Diagnostic exam of bladder and urethra using an endoscope	18	18	$346.77	$69.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$705.09	$166.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$417.21	$126.04
52287 Exam with injections of chemical for destruction of bladder using an endoscope	16	16	$880.02	$140.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$363.00	$162.23
74485 Review by radiologist of ureter or urethra image	15	13	$82.00	$38.26
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	14	14	$2413.43	$196.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$524.48	$168.31
55700 Biopsy of prostate gland	11	11	$561.08	$125.13
76872 Ultrasound scan of pelvic region through rectum	11	11	$278.52	$31.01
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$182.75	$29.61
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$1374.72	$135.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	429	308	$16.00	$2.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	425	345	$235.00	$124.68
51798 Ultrasound measurement of bladder capacity after voiding	332	215	$45.00	$10.32
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	173	37	$1994.00	$48.40
99213 Established patient office or other outpatient visit, typically 15 minutes	138	115	$160.00	$89.27
52000 Diagnostic exam of bladder and urethra using an endoscope	94	73	$473.00	$243.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$360.00	$161.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	75	65	$315.00	$174.80
51700 Simple bladder irrigation and/or instillation	63	43	$204.00	$74.93
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	38	37	$2711.00	$197.13
74420 Imaging of urinary tract	33	24	$55.00	$24.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	14	$160.00	$69.76
74485 Review by radiologist of ureter or urethra image	25	20	$82.00	$38.33
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	18	$55.00	$14.15
51702 Simple insertion of temporary bladder tube	22	14	$137.00	$62.21
76872 Ultrasound scan of pelvic region through rectum	21	21	$234.67	$104.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	18	$445.00	$193.52
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	19	16	$583.00	$321.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$450.00	$219.34
52356 Crushing of stone of ureter with insertion of stent using an endoscope	18	16	$1129.53	$416.83
52287 Exam with injections of chemical for destruction of bladder using an endoscope	18	18	$724.00	$125.81
50590 Shock wave crushing of kidney stones	16	14	$1618.00	$563.06
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$1113.39	$135.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	425	311	$16.00	$2.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	284	$229.84	$126.86
51798 Ultrasound measurement of bladder capacity after voiding	284	208	$42.87	$10.19
99213 Established patient office or other outpatient visit, typically 15 minutes	207	182	$157.58	$89.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	92	92	$353.80	$165.84
52000 Diagnostic exam of bladder and urethra using an endoscope	85	64	$440.00	$236.09
51705 Removal of skin suture with change of bladder tube	76	22	$165.00	$97.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	57	$305.77	$175.87
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	42	12	$1645.00	$51.19
74420 Imaging of urinary tract	37	28	$55.00	$24.31
51700 Simple bladder irrigation and/or instillation	35	29	$204.00	$74.71
74485 Review by radiologist of ureter or urethra image	34	28	$80.00	$38.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	30	$434.03	$197.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	16	$157.81	$71.02
50590 Shock wave crushing of kidney stones	31	29	$1577.23	$567.94
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	29	27	$582.00	$305.05
51702 Simple insertion of temporary bladder tube	27	13	$137.00	$63.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$437.16	$220.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	11	$55.00	$14.07
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	21	$1099.00	$361.98
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$1020.27	$105.09
55700 Biopsy of prostate gland	14	14	$465.14	$129.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$285.07	$134.37
76872 Ultrasound scan of pelvic region through rectum	13	13	$82.00	$32.87
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	12	12	$2203.00	$195.66
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$82.00	$31.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	418	311	$16.00	$2.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	267	$218.00	$107.54
51798 Ultrasound measurement of bladder capacity after voiding	268	216	$41.00	$10.08
99213 Established patient office or other outpatient visit, typically 15 minutes	232	209	$148.00	$73.79
51705 Removal of skin suture with change of bladder tube	99	25	$165.00	$94.78
52000 Diagnostic exam of bladder and urethra using an endoscope	84	66	$388.56	$206.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$336.00	$159.08
74420 Imaging of urinary tract	51	41	$53.59	$25.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	40	$294.00	$145.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	28	$148.00	$72.61
51700 Simple bladder irrigation and/or instillation	41	30	$204.00	$69.13
51702 Simple insertion of temporary bladder tube	41	14	$137.00	$61.13
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	37	35	$582.00	$290.62
74485 Review by radiologist of ureter or urethra image	36	32	$79.11	$40.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	26	$53.00	$14.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	30	$416.00	$203.66
52332 Insertion of stent in urinary duct (ureter) using an endoscope	28	24	$828.00	$106.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$273.50	$138.50
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	21	$1099.00	$416.60
J3490 Unclassified drugs	19	11	$1886.63	$1122.59
50590 Shock wave crushing of kidney stones	16	16	$1302.00	$581.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$220.00	$106.83
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$421.00	$207.83
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2016.00	$702.25
52287 Exam with injections of chemical for destruction of bladder using an endoscope	14	13	$595.00	$125.11
76872 Ultrasound scan of pelvic region through rectum	13	12	$82.00	$33.87
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$82.00	$32.09
51040 Incision of bladder with drainage	12	11	$696.00	$233.82
55700 Biopsy of prostate gland	12	12	$439.00	$134.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	476	342	$12.52	$2.44
51798 Ultrasound measurement of bladder capacity after voiding	385	266	$31.43	$12.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	231	$164.25	$106.27
99213 Established patient office or other outpatient visit, typically 15 minutes	290	244	$110.92	$73.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$250.27	$164.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	97	57	$106.19	$73.15
51705 Removal of skin suture with change of bladder tube	91	22	$133.79	$93.32
52000 Diagnostic exam of bladder and urethra using an endoscope	86	66	$280.63	$187.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	80	$299.28	$203.40
74420 Imaging of urinary tract	66	47	$36.91	$25.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	56	49	$222.07	$143.28
J0696 Injection, ceftriaxone sodium, per 250 mg	48	11	$21.50	$0.57
74485 Review by radiologist of ureter or urethra image	45	40	$55.11	$39.85
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	41	37	$492.10	$270.33
51700 Simple bladder irrigation and/or instillation	40	28	$172.55	$70.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	29	$36.53	$16.51
52356 Crushing of stone of ureter with insertion of stent using an endoscope	34	33	$891.04	$430.76
51702 Simple insertion of temporary bladder tube	33	11	$116.79	$61.67
52332 Insertion of stent in urinary duct (ureter) using an endoscope	26	24	$335.88	$141.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$257.14	$129.97
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$327.42	$206.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$205.00	$131.14
52287 Exam with injections of chemical for destruction of bladder using an endoscope	17	14	$425.00	$144.56
52353 Crushing of stone of ureter using an endoscope	14	14	$874.29	$114.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$154.62	$107.87
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$1736.00	$752.31
76872 Ultrasound scan of pelvic region through rectum	11	11	$71.82	$33.88
99225 Subsequent observation care, typically 25 minutes per day	11	11	$114.00	$73.52
55700 Biopsy of prostate gland	11	11	$345.18	$250.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	339	230	$30.00	$15.28
99213 Established patient office or other outpatient visit, typically 15 minutes	329	269	$101.00	$71.15
81002 Urinalysis, manual test	255	201	$12.00	$3.41
81003 Automated urinalysis test	194	166	$12.00	$2.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	148	$148.00	$104.39
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	114	12	$360.00	$212.67
52000 Diagnostic exam of bladder and urethra using an endoscope	97	75	$274.00	$163.77
51705 Removal of skin suture with change of bladder tube	91	15	$125.00	$88.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	41	$97.00	$72.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	57	$198.00	$140.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$228.00	$162.45
74420 Imaging of urinary tract	43	32	$36.00	$17.54
51741 Electronic assessment of bladder emptying	40	26	$150.00	$14.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$272.00	$201.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	27	$33.00	$19.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$186.00	$136.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$150.00	$106.41
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	23	$485.00	$228.37
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	24	24	$1680.00	$729.70
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	19	$863.37	$434.18
74485 Review by radiologist of ureter or urethra image	22	17	$53.00	$25.99
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	16	$318.61	$115.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$282.00	$204.77
55700 Biopsy of prostate gland	13	12	$310.00	$128.15
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	12	$68.00	$32.32
76872 Ultrasound scan of pelvic region through rectum	13	12	$68.00	$33.68
50590 Shock wave crushing of kidney stones	12	12	$1130.00	$577.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	435	313	$12.00	$2.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	345	265	$148.00	$102.66
51798 Ultrasound measurement of bladder capacity after voiding	297	221	$30.00	$18.65
99213 Established patient office or other outpatient visit, typically 15 minutes	214	151	$101.00	$71.39
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	159	18	$360.00	$209.43
51705 Removal of skin suture with change of bladder tube	74	15	$125.00	$88.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	63	$198.00	$137.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	72	44	$97.00	$70.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$228.00	$159.70
52000 Diagnostic exam of bladder and urethra using an endoscope	66	47	$274.00	$161.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	56	$272.00	$200.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	33	$33.00	$24.66
74420 Imaging of urinary tract	43	32	$36.00	$17.48
76000 Imaging guidance for procedure, 60 minutes or less	42	34	$26.00	$8.77
51741 Electronic assessment of bladder emptying	24	19	$150.00	$14.56
52356 Crushing of stone of ureter with insertion of stent using an endoscope	22	19	$845.00	$431.31
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	22	20	$485.00	$234.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	17	$140.00	$103.22
52287 Exam with injections of chemical for destruction of bladder using an endoscope	19	17	$425.00	$148.23
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	15	$318.61	$121.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$282.00	$202.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$186.00	$135.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$150.00	$105.83
55700 Biopsy of prostate gland	12	12	$310.00	$132.69
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$68.00	$32.20
76872 Ultrasound scan of pelvic region through rectum	11	11	$68.00	$33.21

Medical Specialties & State Licenses

CMS Verified: 2020-11-05

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License MO 2008016598

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Ths Physician Partners Inc

4607 Maccorkle Ave Sw, South Charleston, WV 253091364

Phone: 3047661133

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Farris Jackson , MD

Specialist

NPI 1083618904

Doctor of Medicine (M.D.)

Jeannette Bender , FNP-C

Nurse Practitioner - Family

NPI 1104478494

Family Nurse Practitioner (Certified)

Dr. Courtney Cockerell , DO

Internal Medicine - Gastroenterology

NPI 1346504644

Doctor of Osteopathic Medicine (D.O.)

Dr. Enrique Pastrana , MD

Surgery

NPI 1417940412

Doctor of Medicine (M.D.)

Laura Allen , NP

Nurse Practitioner - Adult Health

NPI 1760878839

Nurse Practitioner

Dr. Suman Vaddi , MD

Internal Medicine - Pulmonary Disease

NPI 1790125318

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location November 05, 2020

Registered at 1011 BOWLES AVE STE 425, FENTON, MO 630262384 (Tel: 6364965030)

📍

Updated Business Mailing Address November 05, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

✅

NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 11, 2012

Registered at 1011 BOWLES AVE, SUITE 300, FENTON, MO 630262395 (Tel: 6364965030)

📍

Updated Business Mailing Address September 11, 2012

Registered at 10777 SUNSET OFFICE DR, SUITE 310, SAINT LOUIS, MO 631271019 (Tel: 3148225900)

👤

Provider Name / Credentials Updated September 11, 2012

Recorded as MICHAEL MASTROMICHALIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Urology (License #2008016598 in MO)

🟢

Initial NPI Registration & Enumeration June 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1346444700

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 12, 2007

Last Update: November 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.