Individual provider Active NPI

Darin Marshall Minkin, D.O.

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1043296494
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2000170421 Issued in MO
Practice address
2355 Dougherty Ferry Rd
430
Saint Louis, MO 63122
Phone
(314) 965-8410
Fax
(314) 965-8756
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2000170421 MO Primary

Addresses

Primary practice location

2355 Dougherty Ferry Rd
430
Saint Louis, MO 63122

Mailing address

2355 Dougherty Ferry Rd
430
Saint Louis, MO 63122-3325
Phone (314) 965-8410

Other identifiers 1

IdentifierTypeStateIssuer
209057603MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001662 MO Practitioner - General Surgery 6204825474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Darin M Minkin IncGroup PAC ID 7012081284, 2 clinicians

Practice addresses (Care Compare)

675 Old Ballas Rd
Suite 102
Creve Coeur, MO 63141-7083
Phone (314) 965-8410

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2000170421MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darin M Minkin Inc Surgery CurrentSince Mar 1, 2008 Accepting new patients
Matthew T. Ricks DO LLC Surgery Past Accepting new patients
Elite Surgical Assisting LLC PastSince Oct 2, 2018 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

675 Old Ballas Rd
Ste 102
Saint Louis, MO 63141
Phone (314) 432-7546

2355 Dougherty Ferry Rd
Ste 430
Saint Louis, MO 63122
Phone (314) 821-5002

2355 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 394-1776

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1043296494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD",
            "address_2": "430",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223325",
            "telephone_number": "314-965-8410",
            "fax_number": "314-965-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD",
            "address_2": "430",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63122",
            "telephone_number": "314-965-8410",
            "fax_number": "314-965-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKIN",
        "first_name": "DARIN",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2000170421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209057603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.