Active NPI
Lorena Buffa, MD
- Pediatrics Physician
- Saint Peters, MO
National Provider Identifier
1124092788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2001009157
- Practice address
- 5301 Veterans Memorial Pkwy
Ste 104
Saint Peters, MO 63376-2298 - Phone
- (636) 939-3362
- Fax
- (636) 939-3687
- NPI assigned
- Feb 13, 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 | 2001009157 | MO | Primary |
Addresses
Primary practice location
5301 Veterans Memorial Pkwy
Ste 104
Saint Peters, MO 63376-2298
Mailing address
PO Box 7412025
Chicago, IL 60674-2025
Phone (636) 939-3362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205288707 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050307000003 | MO | Practitioner - Pediatric Medicine | 6002860715 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001009157 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wuca - Cloverleaf Pediatrics, LLC | Pediatrics | Current | Accepting new patients |
| Mercy Clinic East Communities | Pediatrics | Past | Accepting new patients |
Locations
5301 Veterans Memorial Pkwy
Ste 104
Saint Peters, MO 63376
Phone (636) 561-0871
4200 N Cloverleaf Dr
Ste F
Saint Peters, MO 63376
Phone (636) 939-3362
Interoperability endpoints
- lbuffa134110@direct.carenet.org
Organizations & group practices 2
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 Peters, MO
- NPI 1710375928
MO, Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1124092788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412025",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742025",
"telephone_number": "636-939-3362",
"fax_number": "636-939-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 VETERANS MEMORIAL PKWY",
"address_2": "STE 104",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762298",
"telephone_number": "636-939-3362",
"fax_number": "636-939-3687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFFA",
"first_name": "LORENA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2001009157",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205288707",
"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": "5301 Veterans Memorial Pkwy",
"address_2": "STE 104",
"city": "Saint Peters",
"state": "MO",
"country_code": "US",
"postal_code": "633762298",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Peters, 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.