Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Keith Wickenhauser, MD

Individual provider Internal Medicine Physician · NPI 1184042855

Keith Wickenhauser, MD practises Internal Medicine in Saint Charles, Missouri. Graduated from Saint Louis University School of Medicine in 2014, 12 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Missouri.

Years since qualifying
12
Trained at
Saint Louis University School of Medicine
Licensed in
KY, MO
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

711 Veterans Memorial Pkwy Ste 300
Saint Charles, MO 63303-2106
Phone: (636) 669-2350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 S Jackson St, Louisville, KY 40202 — (502) 852-4277

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2018011071 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence R3656 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 2018011071 (MO)

Record details

NPI number1184042855
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2014
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients615
Services billed 8,264 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Barnes-Jewish St Peters Hospital Hospital · Saint Peters, MO · listed as Barnes Jewish St Peters Hospital
  • Mercy Hospital St Louis Hospital · Saint Louis, MO · listed as Mercy Hospitals East Communities Mercy Hospital St Louis
  • Ssm St Joseph Health Center Hospital · Saint Charles, MO · listed as St Joseph Health Center
  • Aw Health Care Home health agency · Saint Louis, MO · listed as Aw Health Care Inc
  • Vitas Healthcare Corporation Midwest Hospice · Saint Louis, MO
  • Ssm Health Depaul Hospital St Louis Hospital · Bridgeton, MO
  • Ssm St Joseph Hospital West Hospital · Lake Saint Louis, MO
  • Premiere Home Health Home health agency · Saint Charles, MO
  • Ssm Health At Home Home Health-St. Louis Home health agency · Saint Louis, MO
  • St Croix Hospice Hospice · Saint Peters, MO

Also affiliated with 1 inpatient rehabilitation facility, which CMS identifies by certification number only.

Colleagues at SSM Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 560 clinicians in the practice; 12 are shown here.

Other providers in Saint Charles