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

Wissam Kiwan, MD

Individual provider Gastroenterology Physician · NPI 1790164226

Wissam Kiwan, MD is a Gastroenterology in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
12
Licensed in
IL, MO
In the registry since
2015
Specialties on file
2
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

1008 S Spring Ave Fl 2
Saint Louis, MO 63110-2520
Phone: (313) 858-4090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 N Washington St, Du Quoin, IL 62832-1233 — (618) 542-1045

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 2022010699 (MO)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 036164478 (IL)

Record details

NPI number1790164226
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2015
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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