Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin R Mahoney, MD

Individual provider Trauma Surgery Physician · NPI 1386745115

Kevin R Mahoney, MD is a General Surgery in Saint Louis, Missouri. Graduated from University of Minnesota Medical School in 1988, 38 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Wisconsin.

Years since qualifying
38
Trained at
University of Minnesota Medical School
Licensed in
MO, WI
In the registry since
2006
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

1225 S Grand Blvd Level 2
Saint Louis, MO 63104-1016
Phone: (314) 977-4440
Fax: (314) 977-1877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 915 N Grand Ave, Saint Louis, MO 63106 — (314) 652-4100

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 2007020558 (MO)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 43940 (WI)
Surgery Physician Taxonomy 208600000X · Licence 43940 (WI)

Record details

NPI number1386745115
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1988 (38 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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