Mercy Aco Clinical Services Inc
Organization Active NPI Neurology Physician · Chesterfield, MO
NPI 1063965093 · NPPES record last updated May 2, 2025
Key facts
- NPI
- 1063965093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- MERCY ACO CLINICAL SERVICES INC
- Practice address
- 15740 S Outer 40 Rd
Chesterfield, MO 63017-2004 - Phone
- (636) 237-4200
- NPI assigned
- Jul 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Bridget Cafazza
- Title
- VP -Value Forcasting & Rev Analysis
- Phone
- (636) 237-4151
Practitioners 292
-
Malik I Ahmed, MD
-
Mohamed Alwan, M.D.
-
Sangita Aradhyula, M.D.
-
Senthil Aruchamy, M.D
-
Opeyemi Ayeni, M.D
-
Fang Bai, MD
-
Shreyans Bengani, MD
-
Meaghan Boland, FNP-BC
-
Timothy James Brinker, M.D.
-
Steven M Brown, M.D.
-
Christie Brugere, FNP
-
Zerihun A. Bunaye, M.D.
-
Anna M Conti, MD
-
Enquan Gao, M.D.
-
Kimberly H Harsy, FNP-C
-
John Hearn, MD, MA
-
Kathleen Heath, FNP
-
Brooke Diane Hensley, APRN
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2174805 | Mercy Virtual Care Center | Compliance | Jun 20, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (14 enrollments) in MO, OK, AR, IL, TX, IA, FL, VA, NV, NC, KS, TN, OH, AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170117001888 | MO | Part B Supplier - Clinic/Group Practice | 6901188572 | Receives reassigned benefits from 268 practitioners |
| O20170203000038 | OK | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 2 practitioners Practice locations: Oklahoma City, OK |
| O20170203000192 | AR | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 2 practitioners Practice locations: Fort Smith, AR |
| O20201015002388 | IL | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 7 practitioners Practice locations: Champaign, IL; Chicago, IL; Naperville, IL; Shiloh, IL; Troy, IL |
| O20201116002529 | TX | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 1 practitioner Practice locations: Austin, TX; Fulshear, TX; Cypress, TX |
| O20211208002369 | IA | Part B Supplier - Clinic/Group Practice | 6901188572 | Practice locations: Grimes, IA |
| O20220112001824 | FL | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 2 practitioners Practice locations: Orlando, FL; Weston, FL |
| O20221214000388 | VA | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 1 practitioner Practice locations: Henrico, VA |
| O20240314001568 | NV | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
| O20240329000253 | NC | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 1 practitioner Practice locations: Charlotte, NC |
| O20240401000190 | KS | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 1 practitioner Practice locations: Wichita, KS |
| O20240405000893 | TN | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 1 practitioner Practice locations: Nashville, TN |
| O20240409000405 | OH | Part B Supplier - Clinic/Group Practice | 6901188572 | Practice locations: Dublin, OH |
| O20260113003123 | AZ | Part B Supplier - Clinic/Group Practice | 6901188572 |
Receives reassigned benefits from 1 practitioner Practice locations: Scottsdale, AZ |
National Provider Directory
Locations
7301 Rogers Ave
Ste C506
Fort Smith, AR 72903
Phone (479) 314-5175
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
625 S New Ballas Rd
Ste 7055
Saint Louis, MO 63141
Phone (636) 735-4205
701 S New Ballas Rd
Ste 150
Saint Louis, MO 63141
Phone (314) 251-7855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | |||
| Clinical Social Worker |
1041C0700X | |||
| Emergency Medicine Physician |
207P00000X | |||
| Neurology Physician |
2084N0400X | Yes | ||
| Hospitalist Physician |
208M00000X |
Addresses
Primary practice location
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Mailing address
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Other names
- Mercy Virtual
Other providers in Chesterfield, MO
- Menm, LLC
- Susan J Menner
- Bertha A Mera
- Ronald L. Mera
- Alaina E Mercier
- Mercy East Ambulatory Services LLC
- Mercy Healthcare Inc
- Mercy Healthcare, Inc.
- Mercy Pharmacy Services LLC
- Mercy Rehabilitation Hospital - St Louis, LLC
All providers in Chesterfield, MO · Neurology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.