MIDWEST INTERNISTS, PC
NPI 1790984904
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Louis, MO

NPI Status: Active since July 17, 2007

Contact Information

1040 N MASON RD
SUITE 102
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 996-8349

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism

About MIDWEST INTERNISTS, PC

This page provides the complete NPI Profile along with additional information for Midwest Internists, Pc, an internist established in Saint Louis, Missouri operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1790984904 assigned on July 2007. The practitioner's primary taxonomy code is 207RE0101X with license number 105483 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. Midwest Internists, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Kamal R. Demetry (President)

NPI
1790984904
Provider Name
MIDWEST INTERNISTS, PC
Entity Type
Organization
Location Address
1040 N MASON RD SUITE 102 SAINT LOUIS, MO 63141
Location Phone
(314) 996-8349
Mailing Address
1040 N MASON RD SUITE 102 SAINT LOUIS, MO 63141
Mailing Phone
(314) 996-8349
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-17-2007
Last Update Date
07-17-2007
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An internist like Midwest Internists, Pc 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.

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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 Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License No.
105483
License State
MO
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KAMAL R. DEMETRY

Authorized Official Title
PRESIDENT
Authorized Official Phone
(314) 996-8349

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
G47973MEDICARE UPIN (02)MO 

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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.
1790984904
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180188890
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 8 + 8 + 9 + 0 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1790984904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134147648MS. KATHLEEN P LOBELLO ANP
Individual
Nurse Practitioner (Adult Health)1040 N MASON RD
SAINT LOUIS, MO 63141
(314) 362-8200
1699793406DR. CYNTHIA Z KENNEALLY MD
Individual
Ophthalmology1040 N MASON RD SUITE 219
SAINT LOUIS, MO 63141
(314) 275-2020
1801806112STAN L LONDON MEDICAL LLC
Organization
Surgery1040 N MASON RD STE G03
SAINT LOUIS, MO 63141
(314) 878-7899
1124194212PHYSICIAN GROUPS LC
Organization
Clinic/Center (Medical Specialty)1040 N MASON RD SUITE 206
SAINT LOUIS, MO 63141
(314) 878-1950
1275600603PHYSICIAN GROUPS LC
Organization
Clinic/Center (Primary Care)1040 N MASON RD SUITE 102
SAINT LOUIS, MO 63141
(314) 996-8349
1164599502PHYSICIAN GROUPS LC
Organization
Clinic/Center (Medical Specialty)1040 N MASON RD SUITE 102
SAINT LOUIS, MO 63141
(314) 996-8349
1528258548WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Organization
Durable Medical Equipment & Medical Supplies1040 N MASON RD
SAINT LOUIS, MO 63141
(314) 935-0770
1528257698 KENNETH J BENNETT MD
Individual
Specialist1040 N MASON RD STE G-03
ST LOUIS, MO 63141
(314) 878-7899
1730327842WASHINGTON UNIVERSITY
Organization
Durable Medical Equipment & Medical Supplies1040 N MASON RD SUITE 122
SAINT LOUIS, MO 63141
(314) 996-8065
1992944904 MARY ELIZABETH KING JOHNSON PA-C
Individual
Physician Assistant1040 N MASON RD SUITE 103
SAINT LOUIS, MO 63141
(314) 469-7246
1568792539 MELISSA KORENBLAT-HANIN MSW, LCSW
Individual
Social Worker (Clinical)1040 N MASON RD SUITE 115
SAINT LOUIS, MO 63141
(314) 542-0606
1386778660ORTHOPEDIC CARE OF ST. LOUIS, PC
Organization
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)1040 N MASON RD SUITE G03
SAINT LOUIS, MO 63141
(314) 434-0030
1760408983DR. IRA JOE KODNER MD
Individual
Colon & Rectal Surgery1040 N MASON RD STE 120
SAINT LOUIS, MO 63141
(314) 454-7177
1063555860DR. PHILLIP ERWIN KORENBLAT M.D.
Individual
Specialist1040 N MASON RD SUITE 112
SAINT LOUIS, MO 63141
(314) 514-8509
1407936057TEMPO SURGICAL INC
Organization
Surgery1040 N MASON RD 214
ST LOUIS, MO 63141
(314) 275-9770
1134357338MR. DENNIS GLENN HAFFORD PA
Individual
Physician Assistant (Surgical)1040 N MASON RD DIV SURG UROLOGY
SAINT LOUIS, MO 63141
(314) 362-8200
1760592794DR. ELIZABETH HUEBNER MD
Individual
Internal Medicine (Gastroenterology)1040 N MASON RD DIV IM GASTROENTEROLOGY, STE 206
CREVE COEUR, MO 63141
(314) 747-2066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790984904, enumerated in the NPI registry as an "organization" on July 17, 2007

The provider is located at 1040 N Mason Rd Suite 102 Saint Louis, Mo 63141 and the phone number is (314) 996-8349

This medical organization specializes in Internal Medicine with taxonomy code 207RE0101X with a focus in Endocrinology, Diabetes & Metabolism

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 17, 2007. 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.