METRO MEDICAL CLINIC, LLC – NPI #1922585389
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

Health Care Provider Taxonomy Code for Family Medicine

METRO MEDICAL CLINIC, LLC is a provider located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1922585389 to METRO MEDICAL CLINIC, LLC on July 27, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 8 years ago on Oct 20, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for METRO MEDICAL CLINIC, LLC below.

NPI Profile for
METRO MEDICAL CLINIC, LLC

NPI Number
1922585389
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
METRO MEDICAL CLINIC, LLC
Doing Business As (dba): METRO MEDICAL CLINIC, LLC
Primary location
5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS, MO 63128-3891
Phone: (314) 647-9797 Fax:
Mailing address
11115 NEW HALLS FERRY RD
FLORISSANT, MO 63033-7613
Phone: (314) 921-6200 Fax: (314) 830-0756
Organization Subpart
No
Authorized Official
JAWED SIDDIQUI
MEDICAL DOCTOR
Phone: (314) 921-6200
Updated
Identifiers

Identifiers for METRO MEDICAL CLINIC, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO200668739
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)		 MO R6047
207RC0000X
- Internal Medicine / Cardiovascular Disease		 MO R6047

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.