Active NPI
Teresa Anne Kurtz, MD
- Pediatrics Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2010017705
- Practice address
- 4850 Lemay Ferry Rd
Ste 120
Saint Louis, MO 63129-1526 - Phone
- (314) 849-3320
- Fax
- (314) 849-7766
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2010017705 | MO | Primary |
Addresses
Primary practice location
4850 Lemay Ferry Rd
Ste 120
Saint Louis, MO 63129-1526
Mailing address
PO Box 7412065
Chicago, IL 60674-2065
Phone (314) 849-3320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204273502 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010017705 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Current | Accepting new patients | |
| Washington University | Pediatrics | Current | Accepting new patients |
| Washington University | Current | Accepting new patients | |
| Washington University | Past | Accepting new patients |
Locations
1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104
1 Childrens Pl
#8328
Saint Louis, MO 63110
4850 Lemay Ferry Rd
Ste 120
Saint Louis, MO 63129
Phone (314) 416-1707
1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076
456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141
Phone (314) 567-0578
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.
-
- Pediatrics Physician
- Saint Louis, MO
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-
- Multi-Specialty Clinic/Center
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- NPI 1962442475
-
- Multi-Specialty Clinic/Center
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- NPI 1134169568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1043379241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412065",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742065",
"telephone_number": "314-849-3320",
"fax_number": "314-849-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 LEMAY FERRY RD",
"address_2": "STE 120",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291526",
"telephone_number": "314-849-3320",
"fax_number": "314-849-7766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "TERESA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2010017705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204273502",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4850 LeMay Ferry Rd",
"address_2": "Ste 120",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631291526",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.