Organization Active NPI

Novus Health Inc

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1013533181
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVUS HEALTH INC
Practice address
6155 S Grand Blvd
Saint Louis, MO 63111-2319
Phone
(314) 652-0100
NPI assigned
Jun 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phillip Johnson
Title
Community Outreach Liaison
Phone
(314) 652-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6155 S Grand Blvd
Saint Louis, MO 63111-2319

Mailing address

6155 S Grand Blvd
Saint Louis, MO 63111-2319
Phone (314) 652-0100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200909000336 MO Part B Supplier - Clinic/Group Practice 3779901756 Receives reassigned benefits from 12 practitioners
Practice locations: Cape Girardeau, MO; Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0994860Novus Health Inc6155 South Grand Blvd, Saint Louis, MO 63111Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

3960 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 533-2992

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAFHCD

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1013533181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112319",
            "telephone_number": "314-652-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112319",
            "telephone_number": "314-652-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "COMMUNITY OUTREACH LIAISON",
        "authorized_official_telephone_number": "314-652-0100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.