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Enes Secic

Physician β€’ Fenton, MO

Active NPI 1275324931 Individual Practitioner Male Practitioner
Practice location in NPPES

1011 Autumn Valley Ct
Fenton, MO 630265578

Call 3148176728 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1011 Autumn Valley Ct

Fenton, MO 630265578

Telephone 3148176728
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saint Louis, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-05-13
Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

License # reported to NPPES MO BD4S7B

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Secondary Practice Locations

3807 Reavis Barracks Rd

Saint Louis, MO 631252443

Phone: 3148176728

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
βœ…
NPI Profile Active May 13, 2025

NPI status registered as active in NPPES database

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Practice Location (Initial Record) May 13, 2025

Registered at 1011 AUTUMN VALLEY CT, FENTON, MO 630265578 (Tel: 3148176728)

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Business Mailing Address (Initial Record) May 13, 2025

Registered at 1011 AUTUMN VALLEY CT, FENTON, MO 630265578 (Tel: 3148176728)

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Secondary Practice Location Registered May 13, 2025

Additional practice office at 3807 Reavis Barracks Rd, Saint Louis, MO 631252443

πŸ‘€
Provider Name / Credentials (Initial Record) May 13, 2025

Recorded as ENES SECIC

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2025

Non-emergency Medical Transport (VAN) (license number reported to NPPES: MO BD4S7B)

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Initial NPI Registration & Enumeration May 13, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275324931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2025
Last Update: May 13, 2025
Sole Proprietor: Yes

Mailing Address

1011 Autumn Valley Ct

Fenton, MO 630265578

Phone: 3148176728

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.