Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Samer Thanavaro, MD

Cardiovascular Disease Physician in Saint Louis, MO · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619960606

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Registry record

Entity type Individual (Type 1)

Name Samer Thanavaro

Credential MD

Sex Male

Practice address 11125 Dunn Rd, Suite 204, Saint Louis, MO, 63136

Phone (314) 839-5522

Fax (314) 839-5351

Enumeration date Aug 25, 2005

Last updated in NPPES Dec 2, 2021

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 036072313 (IL) Secondary

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License R6765 (MO) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
060067960	Other	IL	ILRRMCR
110099256	Other	MO	MORRMCR
431098908	Other	-	TRICARE
2500083	Other	-	UHC
A13504	Other	-	MERCY
2333V3831	Other	-	GHP/CMR
000000012939	Other	-	ESSENCE
7268V8816	Other	-	HCUSA
200998417	Medicaid	MO	-
119171	Other	-	HLNK
1259965	Other	-	CIGNA
43336V30946	Other	-	HLTHPART
4037808	Other	-	AETNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Samer Thanavaro?

The National Provider Identifier (NPI) for Samer Thanavaro is 1619960606, a Type 1 (individual) record in the CMS NPPES registry.

Where does Samer Thanavaro practice?

The practice location on file with NPPES is in Saint Louis, MO. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-02.