Active NPI
Christian Verry, MD
- Sports Medicine (Family Medicine) Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 2012033710
- Practice address
- 12680 Olive Blvd Ste 300
Saint Louis, MO 63141-6322 - Phone
- (314) 251-8888
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 2012033710 | MO | Primary |
Addresses
Primary practice location
12680 Olive Blvd Ste 300
Saint Louis, MO 63141-6322
Mailing address
1007 Claytonia Ter
Saint Louis, MO 63117-1508
Phone (314) 650-6442
Other practice location 1
2315 Dougherty Ferry Rd Ste 205
Saint Louis, MO 63122-3383
Phone (314) 977-9600
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Missouri, Columbia School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12680 Olive Blvd
Suite 300
Saint Louis, MO 63141-6322
Phone (314) 251-6050
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospital St Louis
- Missouri Baptist Medical Center
- Mercy Hospital South
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
12680 Olive Blvd
Ste 300
Saint Louis, MO 63141
Phone (314) 251-8888
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
12680 Olive Blvd
Ste 120
Saint Louis, MO 63141
Phone (314) 251-8888
Interoperability endpoints
- cverry761068@directc.mercy.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1154407112
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1063568640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 CLAYTONIA TER",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171508",
"telephone_number": "314-650-6442",
"fax_number": "314-977-9627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12680 OLIVE BLVD STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416322",
"telephone_number": "314-251-8888"
}
],
"practiceLocations": [
{
"address_1": "2315 Dougherty Ferry Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631223383",
"country_code": "US",
"telephone_number": "314-977-9600",
"fax_number": "314-977-9627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERRY",
"first_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MO",
"license": "2012033710",
"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 Sep 25, 2018; 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.
- 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.