ST. LOUIS RENAL CARE - DES PERES
NPI 1013029982
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Saint Louis, MO
NPI Status: Active since August 31, 2006
Contact Information
2325 DOUGHERTY FERRY RD
MEDICAL ARTS PAVILLON SUITE 103
SAINT LOUIS, MO
ZIP 63122
Phone: (314) 822-8963
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- Accepts Insurance
- CLIA Number: 26D1046774
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-28-2025
About ST. LOUIS RENAL CARE - DES PERES
This page provides the complete NPI Profile along with additional information for St. Louis Renal Care - Des Peres, a provider established in Saint Louis, Missouri operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1013029982 assigned on August 2006. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as St. Louis Renal Care - Des Peres. The authorized official of this NPI record is Mark Fawcett (Treasurer)
- NPI
- 1013029982
- Provider Legal Name
- SAINT LOUIS RENAL CARE, LLC
- Other Organization Name
- ST. LOUIS RENAL CARE - DES PERES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2325 DOUGHERTY FERRY RD MEDICAL ARTS PAVILLON SUITE 103 SAINT LOUIS, MO 63122
- Location Phone
- (314) 822-8963
- Mailing Address
- 2325 DOUGHERTY FERRY RD MEDICAL ARTS PAVILLON SUITE 103 SAINT LOUIS, MO 63122
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-31-2006
- Last Update Date
- 12-31-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 262594 | MEDICARE OSCAR/CERTIFICATION (06) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D1046774
- Facility Type
- Physician Office
- Certificate Effective Date
- August 29, 2023
- Certificate Expiration Date
- August 28, 2025
- Laboratory Director
- MARIA Y. HURLEY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to St. Louis Renal Care - Des Peres in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 2 | 9 | 9 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 2 | 18 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 2 + 1 + 8 + 9 + 1 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1013029982 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841298478 | DR. JOSEPH JOHN WILLIAMS MD Individual | Orthopaedic Surgery | 2325 DOUGHERTY FERRY RD SUITE 202 SAINT LOUIS, MO 63122 (314) 966-6480 |
| 1063483816 | ORTHOPEDIC SPECIALISTS, PC Organization | Orthopaedic Surgery | 2325 DOUGHERTY FERRY RD SUITE 200 SAINT LOUIS, MO 63122 (314) 909-1359 |
| 1659342426 | JOSEPH RITCHIE MD Individual | Orthopaedic Surgery | 2325 DOUGHERTY FERRY RD SUITE 200 SAINT LOUIS, MO 63122 (314) 909-1359 |
| 1588635353 | MICHAEL CHABOT DO Individual | Orthopaedic Surgery | 2325 DOUGHERTY FERRY RD SUITE 200 SAINT LOUIS, MO 63122 (314) 909-1359 |
| 1558332106 | RICHARD HOWARD DO Individual | Orthopaedic Surgery | 2325 DOUGHERTY FERRY RD SUITE 200 SAINT LOUIS, MO 63122 (314) 909-1359 |
| 1285602847 | MR. KYLE AARON CONROD PA-C, ATC/L Individual | Physician Assistant | 2325 DOUGHERTY FERRY RD STE 100 SAINT LOUIS, MO 63122 (314) 909-1359 |
| 1194778761 | CARDIOLOGY DIAGNOSTICS, LTD. Organization | Internal Medicine (Cardiovascular Disease) | 2325 DOUGHERTY FERRY RD SUITE 205 SAINT LOUIS, MO 63122 (314) 966-9888 |
| 1457393415 | DR. GEORGE A WILLIAMS M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2325 DOUGHERTY FERRY RD SUITE 205 SAINT LOUIS, MO 63122 (314) 966-9888 |
| 1265476543 | MS. MARY ANN VON FELDT ANP Individual | Nurse Practitioner (Adult Health) | 2325 DOUGHERTY FERRY RD SUITE 205 SAINT LOUIS, MO 63122 (314) 966-9888 |
| 1700803319 | CAROLINE M RUDNICK MD Individual | Family Medicine | 2325 DOUGHERTY FERRY RD ST LOUIS, MO 63122 (314) 977-9600 |
| 1164436069 | BONE AND JOINT INSTITUTE, INC. Organization | Specialist | 2325 DOUGHERTY FERRY RD SUITE 202 SAINT LOUIS, MO 63122 (314) 966-6480 |
| 1457367278 | DR. BRUCE MITCHELL LOWRIE MD Individual | Internal Medicine (Geriatric Medicine) | 2325 DOUGHERTY FERRY RD SUITE 205 SAINT LOUIS, MO 63122 (314) 628-9994 |
| 1477758241 | HEART CARE CONSULTANTS, LLC Organization | Internal Medicine (Cardiovascular Disease) | 2325 DOUGHERTY FERRY RD SUITE 203 SAINT LOUIS, MO 63122 (314) 909-0909 |
| 1740435304 | DES PERES FAMILY MEDICINE PC Organization | Family Medicine | 2325 DOUGHERTY FERRY RD SUITE 104 SAINT LOUIS, MO 63122 (314) 965-1965 |
| 1184900409 | UNIVERSITY HEMATOLOGY ONCOLOGY INC Organization | Specialist | 2325 DOUGHERTY FERRY RD SUITE 204 SAINT LOUIS, MO 63122 (314) 290-7501 |
| 1588088009 | MRS. LOREN SUZANNE VANDERGRIFF ANP Individual | Clinical Nurse Specialist (Medical-Surgical) | 2325 DOUGHERTY FERRY RD SUITE 100 SAINT LOUIS, MO 63122 (314) 909-1359 |
| 1700275286 | ERIC SINCOFF LLC Organization | Neurological Surgery | 2325 DOUGHERTY FERRY RD SAINT LOUIS, MO 63122 (314) 966-6480 |
| 1801994926 | DR. DAVID NORMAN KANTOR D.O. Individual | Family Medicine | 2325 DOUGHERTY FERRY RD STE 104 SAINT LOUIS, MO 63122 (314) 821-6889 |
| 1003280652 | MIDWEST UROGYNECOLOGY, LLC Organization | Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery) | 2325 DOUGHERTY FERRY RD SUITE 206 SAINT LOUIS, MO 63122 (314) 596-9955 |
| 1376848481 | LABORATORY CORPORATION OF AMERICA Organization | Clinical Medical Laboratory | 2325 DOUGHERTY FERRY RD MAP1 SUITE 103 SAINT LOUIS, MO 63122 (314) 966-1831 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013029982, enumerated in the NPI registry as an "organization" on August 31, 2006
The provider is located at 2325 Dougherty Ferry Rd Medical Arts Pavillon Suite 103 Saint Louis, Mo 63122 and the phone number is (314) 822-8963
This medical organization specializes in Clinic/Center with taxonomy code 261QE0700X with a focus in End-Stage Renal Disease (ESRD) Treatment
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 26D1046774 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on August 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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