MERCY CLINIC KIDS GI, LLC
NPI 1033352885
Pediatrics - Pediatric Gastroenterology in Saint Louis, MO
NPI Status: Active since April 09, 2009
Contact Information
621 S NEW BALLAS RD
SUITE 140-A
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 996-0006
Fax: (314) 996-0007
- Organization
- Pediatrics
- Pediatric Gastroenterology
- Accepts Insurance
- CLIA Number: 26D1031195
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-26-2026
About MERCY CLINIC KIDS GI, LLC
This page provides the complete NPI Profile along with additional information for Mercy Clinic Kids Gi, Llc, a pediatrician established in Saint Louis, Missouri operating as a Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1033352885 assigned on April 2009. The practitioner's primary taxonomy code is 2080P0206X. The provider is registered as an organization and their NPI record was last updated April 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's
- NPI
- 1033352885
- Provider Legal Name
- MERCY CLINIC KIDS GI, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 621 S NEW BALLAS RD SUITE 140-A SAINT LOUIS, MO 63141
- Location Phone
- (314) 996-0006
- Location Fax
- (314) 996-0007
- Mailing Address
- 621 S NEW BALLAS RD STE Y-G230 SAINT LOUIS, MO 63141
- Mailing Phone
- (314) 251-5550
- Mailing Fax
- (314) 996-0007
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-09-2009
- Last Update Date
- 04-25-2025
- Code Navigator
A pediatrician like Mercy Clinic Kids Gi, Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Secondary Locations
- 211 Saint Francis Dr
Cape Girardeau, MO 63703
(314) 251-5550 - 4525 Mid Rivers Mall Dr Ste 10
Cottleville, MO 63376
(314) 251-5550
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
Pediatrics Pediatric Gastroenterology
- Taxonomy Code
- 2080P0206X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold (QualChoice) - POS
- Elite Gold (QualChoiceLife) - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Everyday Silver (QualChoiceLife) - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- 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
- Balance by Medica Bronze $0 Copay PCP Visits - EPO
- Balance by Medica Bronze $0 Copay PCP Visits - PPO
- Balance by Medica Bronze Premier - EPO
- Balance by Medica Bronze Premier - PPO
- Balance by Medica Catastrophic - EPO
- Balance by Medica Catastrophic - PPO
- Balance by Medica Expanded Bronze Standard - EPO
- Balance by Medica Expanded Bronze Standard - PPO
- Balance by Medica Gold $0 Copay PCP Visits - EPO
- Balance by Medica Gold $0 Copay PCP Visits - PPO
- Balance by Medica Gold Share - EPO
- Balance by Medica Gold Share - PPO
- Balance by Medica Gold Standard - EPO
- Balance by Medica Gold Standard - PPO
- Balance by Medica Silver $0 Copay PCP Visits - EPO
- Balance by Medica Silver $0 Copay PCP Visits - PPO
- Balance by Medica Silver Share - EPO
- Balance by Medica Silver Share - PPO
- Balance by Medica Silver Standard - EPO
- Balance by Medica Silver Standard - PPO
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 |
|---|---|---|---|
| 509292504 | MEDICAID (05) | MO |
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
- 26D1031195
- Facility Type
- Physician Office
- Certificate Effective Date
- September 27, 2024
- Certificate Expiration Date
- September 26, 2026
- Laboratory Director
- MARK D. AUSTIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mercy Clinic Kids Gi, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 3 | 3 | 3 | 5 | 2 | 8 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 6 | 5 | 4 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 6 + 5 + 4 + 8 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1033352885 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1790788941 | DR. ROBERT J BACKER MD Individual | Specialist | 621 S NEW BALLAS RD STE 297A SAINT LOUIS, MO 63141 (314) 251-6364 |
| 1518961440 | PETER GAILLARD SMITH MD, PHD Individual | Otolaryngology (Otology & Neurotology) | 621 S NEW BALLAS RD STE 597A SAINT LOUIS, MO 63141 (314) 432-5151 |
| 1194724724 | JOHN S FARRELL M.D. Individual | Internal Medicine (Gastroenterology) | 621 S NEW BALLAS RD SUITE 584A SAINT LOUIS, MO 63141 (314) 251-6966 |
| 1013917715 | DR. PETER KONG-WOO YOON M.D. Individual | Specialist | 621 S NEW BALLAS RD STE 297A SAINT LOUIS, MO 63141 (314) 251-6364 |
| 1194718767 | ALBRO C TOBEY JR. MD Individual | Obstetrics & Gynecology | 621 S NEW BALLAS RD STE 399 SAINT LOUIS, MO 63141 (314) 251-6644 |
| 1609869239 | ROBERT L BECKER MD Individual | Obstetrics & Gynecology | 621 S NEW BALLAS RD STE 399 SAINT LOUIS, MO 63141 (314) 251-6644 |
| 1538156831 | DR. GREGORY W BRABBEE M.D. Individual | Specialist | 621 S NEW BALLAS RD SUITE 7011B SAINT LOUIS, MO 63141 (314) 251-6840 |
| 1447247747 | DR. RICHARD C PENNELL M.D. Individual | Specialist | 621 S NEW BALLAS RD SUITE 7011B SAINT LOUIS, MO 63141 (314) 251-6840 |
| 1265429567 | DR. VITO A MANTESE M.D. Individual | Specialist | 621 S NEW BALLAS RD SUITE 7011B SAINT LOUIS, MO 63141 (314) 251-6840 |
| 1891782199 | DR. JOSEPH J HURLEY M.D. Individual | Specialist | 621 S NEW BALLAS RD SUITE 7011B SAINT LOUIS, MO 63141 (314) 251-6840 |
| 1700873007 | DR. PHILIP L ROBBINS M.D. Individual | Specialist | 621 S NEW BALLAS RD SUITE 7011B SAINT LOUIS, MO 63141 (314) 251-6840 |
| 1619964913 | DR. SCOTT G WESTFALL M.D. Individual | Specialist | 621 S NEW BALLAS RD SUITE 7011B SAINT LOUIS, MO 63141 (314) 251-6840 |
| 1528055829 | DR. SUSAN H WESTFALL M.D. Individual | Specialist | 621 S NEW BALLAS RD SUITE 7011B SAINT LOUIS, MO 63141 (314) 251-6840 |
| 1437146784 | WEST COUNTY SURGICALSPECIALIST Organization | Specialist | 621 S NEW BALLAS RD SUITE 7011B SAINT LOUIS, MO 63141 (314) 251-6840 |
| 1093703290 | MR. ROBERT STEVEN YOSELEVSKY MD Individual | Ophthalmology | 621 S NEW BALLAS RD STE 5006B SAINT LOUIS, MO 63141 (314) 432-5478 |
| 1205825080 | MRS. ERIN CLEARY SULLIVAN OD Individual | Optometrist | 621 S NEW BALLAS RD OPHTHALMOLOGY CONSULTANTS LTD STE 5006B SAINT LOUIS, MO 63141 (314) 432-5478 |
| 1134118482 | STEVEN F LEE MD Individual | Ophthalmology | 621 S NEW BALLAS RD #5006B SAINT LOUIS, MO 63141 (314) 432-5478 |
| 1144210246 | RICHARD J. GIMPELSON M.D. Individual | Obstetrics & Gynecology (Gynecology) | 621 S NEW BALLAS RD SUITE 499 TOWER A SAINT LOUIS, MO 63141 (314) 251-7650 |
| 1184605883 | ANGELA B. MILLER M.D. Individual | Internal Medicine | 621 S NEW BALLAS RD SUITE 3016B SAINT LOUIS, MO 63141 (314) 251-6339 |
| 1285615658 | MS. JEANNE L WHALEN RN Individual | Registered Nurse | 621 S NEW BALLAS RD STE 368A SAINT LOUIS, MO 63141 (314) 872-7958 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033352885, enumerated in the NPI registry as an "organization" on April 09, 2009
The provider is located at 621 S New Ballas Rd Suite 140-a Saint Louis, Mo 63141 and the phone number is (314) 996-0006
This medical organization specializes in Pediatrics with taxonomy code 2080P0206X with a focus in Pediatric Gastroenterology
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 26D1031195 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 09, 2009. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.