ST LOUIS KIDNEY CARE LLC – NPI #1780058727
Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
ST LOUIS KIDNEY CARE LLC is a provider located in FLORISSANT, MO. NPPES has assigned the NPI number 1780058727 to ST LOUIS KIDNEY CARE LLC on November 13, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology
The NPI profile was last updated on Jul 24, 2024. 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 ST LOUIS KIDNEY CARE LLC below.
NPI Profile for
ST LOUIS KIDNEY CARE LLC
(more than 10 years ago)
FLORISSANT, MO 63031-8018 Phone: (314) 741-1600 Fax: (314) 741-1677
4 Other location(s):
Alton, IL 62002-6723
Phone: (314) 741-1600
Fax: (314) 741-1677
Granite City, IL 62040-4641
Phone: (314) 741-1600
Fax: (314) 741-1677
Bonne Terre, MO 63628-1353
Phone: (636) 937-3337
Fax: (636) 931-7671
Festus, MO 63028-4141
Phone: (636) 937-3337
Fax: (636) 931-7671
PRESIDENT
Phone: (781) 699-9362
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for ST LOUIS KIDNEY CARE 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | IL | 455247262-04915-01 | |
| medicaid | MO | 500035811 |
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 |
|---|---|---|
| 207RN0300X - Internal Medicine / Nephrology (Primary) |
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.