MISSOURI MEDICAL PARTNERS LLC
NPI 1720248065
Internal Medicine in Fenton, MO
NPI Status: Active since June 10, 2008
Contact Information
1015 BOWLES AVE
FENTON, MO
ZIP 63026
Phone: (314) 525-1000
Fax: (636) 333-4510
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 26D2085916
- CLIA Cert. Type: Pharmacy
- CLIA Exp. Date: 10-23-2026
About MISSOURI MEDICAL PARTNERS LLC
This page provides the complete NPI Profile along with additional information for Missouri Medical Partners Llc, an internist established in Fenton, Missouri operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1720248065 assigned on June 2008. The practitioner's primary taxonomy code is 207R00000X with license number 2003015147 (MO). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Vladimir Milosavljevic Md (Owner)
- NPI
- 1720248065
- Provider Name
- MISSOURI MEDICAL PARTNERS LLC
- Entity Type
- Organization
- Location Address
- 1015 BOWLES AVE FENTON, MO 63026
- Location Phone
- (314) 525-1000
- Location Fax
- (636) 333-4510
- Mailing Address
- PO BOX 504683 SAINT LOUIS, MO 63150
- Mailing Phone
- (636) 333-4500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-10-2008
- Last Update Date
- 12-31-2023
- Code Navigator
An internist like Missouri Medical Partners Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 10010 Kennerly Rd
Saint Louis, MO 63128
(314) 525-1000
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2003015147
- License State
- MO
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Group Taxonomy 193400000X 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:
- 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
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 26D2085916
- Facility Type
- Pharmacy
- Certificate Effective Date
- October 24, 2024
- Certificate Expiration Date
- October 23, 2026
- Laboratory Director
- SCOTT BARO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Missouri Medical Partners 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 | 7 | 2 | 0 | 2 | 4 | 8 | 0 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 4 | 16 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 4 + 1 + 6 + 0 + 1 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1720248065 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 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376656116 | DR. NIRANDON WONGSURAWAT MD Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1015 BOWLES AVE FENTON, MO 63026 (636) 566-8155 |
| 1356581078 | PATIENTS FIRST HEALTH CARE LLC Organization | Internal Medicine (Cardiovascular Disease) | 1015 BOWLES AVE SUITE 1000 FENTON, MO 63026 (636) 390-1400 |
| 1558502989 | MIDWEST EMERGENCY ASSOCIATES-FENTON, LLC Organization | Emergency Medicine | 1015 BOWLES AVE FENTON, MO 63026 (314) 966-1500 |
| 1902122211 | INTENSIVIST GROUP OF MISSOURI INC Organization | Internal Medicine (Critical Care Medicine) | 1015 BOWLES AVE FENTON, MO 63026 (866) 344-0543 |
| 1780961599 | COGENT HEALTHCARE OF MISSOURI, INC Organization | Internal Medicine (Critical Care Medicine) | 1015 BOWLES AVE FENTON, MO 63026 (615) 377-5600 |
| 1104192004 | FATIMA IMRAN SHAH RD,LD Individual | Dietitian, Registered | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-2543 |
| 1053687426 | MRS. SHIRLEY W ANDERSON RDLD Individual | Dietitian, Registered | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-5815 |
| 1457619785 | JULIANNA FAULKNER REARDON R.D. Individual | Dietitian, Registered | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-3330 |
| 1912910316 | DR. CHRISTOPHER WILLIAM JACKSON D.O. Individual | Personal Emergency Response Attendant | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-2100 |
| 1457617672 | PATRICIA M ZELLE RD, LD Individual | Dietitian, Registered | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-2541 |
| 1659317188 | FELICE ANN ROLNICK MD Individual | Internal Medicine | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-2000 |
| 1649566944 | REBECCA J MAUL CRNA Individual | Nurse Anesthetist, Certified Registered | 1015 BOWLES AVE FENTON, MO 63026 (314) 775-2816 |
| 1093129439 | MRS. SUSAN ELIZABETH BONK MS, CCC-SLP Individual | Speech-Language Pathologist | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-2430 |
| 1568622512 | LAUREN ODUM Individual | Pharmacist | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-5006 |
| 1316316516 | RACHEL PENCE Individual | Dietitian, Registered | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-2543 |
| 1144678285 | WILKA YANETH VINCENT R.D., L.D. Individual | Dietitian, Registered | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-2543 |
| 1083933626 | STACEY A MORMOL CRNA Individual | Anesthesiology | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-2000 |
| 1891037685 | KORI A STECHMESSER CRNA Individual | Nurse Anesthetist, Certified Registered | 1015 BOWLES AVE FENTON, MO 63026 (314) 775-2816 |
| 1396064945 | MARLAYNA F SCHAFFER CRNA Individual | Nurse Anesthetist, Certified Registered | 1015 BOWLES AVE FENTON, MO 63026 (636) 496-2000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720248065, enumerated in the NPI registry as an "organization" on June 10, 2008
The provider is located at 1015 Bowles Ave Fenton, Mo 63026 and the phone number is (314) 525-1000
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medica and Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 26D2085916 for a "pharmacy" 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 June 10, 2008. 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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