CREVE COEUR INTERNAL MEDICINE, LLC
NPI 1962868901
Internal Medicine in Creve Coeur, MO
NPI Status: Active since January 06, 2016
Contact Information
11550 OLIVE BLVD
STE 140
CREVE COEUR, MO
ZIP 63141
Phone: (314) 576-2490
- Organization
- Internal Medicine
- CLIA Number: 26D2087704
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 12-01-2026
About CREVE COEUR INTERNAL MEDICINE, LLC
This page provides the complete NPI Profile along with additional information for Creve Coeur Internal Medicine, Llc, an internist established in Creve Coeur, Missouri operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1962868901 assigned on January 2016. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 10 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 Rick Sonne (Director)
- NPI
- 1962868901
- Provider Name
- CREVE COEUR INTERNAL MEDICINE, LLC
- Entity Type
- Organization
- Location Address
- 11550 OLIVE BLVD STE 140 CREVE COEUR, MO 63141
- Location Phone
- (314) 576-2490
- Mailing Address
- 121 SAINT LUKES CENTER DR CHESTERFIELD, MO 63017
- Mailing Phone
- (314) 576-2490
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-06-2016
- Last Update Date
- 01-06-2016
- Code Navigator
An internist like Creve Coeur Internal Medicine, 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
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
- 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.
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
- 26D2087704
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- December 02, 2024
- Certificate Expiration Date
- December 01, 2026
- Laboratory Director
- KIMBERLY BROWN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Creve Coeur Internal Medicine, 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 | 9 | 6 | 2 | 8 | 6 | 8 | 9 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 16 | 6 | 16 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 1 + 6 + 6 + 1 + 6 + 9 + 0 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1962868901 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790739241 | DR. ROSEMARY LOUISE CANNISTRARO M.D. PHD Individual | Internal Medicine | 11550 OLIVE BLVD STE 140 CREVE COEUR, MO 63141 (314) 205-8344 |
| 1508802976 | DIVYA CHAUHAN M.D. Individual | Family Medicine | 11550 OLIVE BLVD STE 120 CREVE COEUR, MO 63141 (314) 523-2590 |
| 1154874691 | CAROLE ETTINGER APRN-FNP Individual | Nurse Practitioner (Family) | 11550 OLIVE BLVD CREVE COEUR, MO 63141 (314) 542-7690 |
| 1619167483 | RUPINDERJIT SINGH DHILLON MD Individual | Hospitalist | 11550 OLIVE BLVD STE 140 CREVE COEUR, MO 63141 (314) 205-8344 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962868901, enumerated in the NPI registry as an "organization" on January 06, 2016
The provider is located at 11550 Olive Blvd Ste 140 Creve Coeur, Mo 63141 and the phone number is (314) 576-2490
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 26D2087704 for a "assisted living facility" 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 January 06, 2016. 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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