Organization Active NPI

Stephen Veluz MD, LLC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1124206024
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2006020986 Issued in MO
Legal business name
STEPHEN VELUZ MD, LLC
Practice address
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone
(314) 768-8000
Fax
(636) 942-2223
NPI assigned
Feb 4, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Sephen Veluz, MD
Title
Owner
Phone
(636) 942-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2006020986 MO Primary

Addresses

Primary practice location

6420 Clayton Rd
Saint Louis, MO 63117-1811

Mailing address

8747 White Ave
Saint Louis, MO 63144-2029
Phone (314) 413-7579

Other identifiers 3

IdentifierTypeStateIssuer
220858OtherMOANTHEM BCBS
204470009MedicaidMO
890179OtherMOHEALTHLINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000474 MO Part B Supplier - Clinic/Group Practice 3577646843 Receives reassigned benefits from 2 practitioners
Practice locations: St Louis, MO; Saint Louis, MO; Chesterfield, MO; Festus, MO

National Provider Directory

National Provider Directory

Locations

14561 North Outer 40 Rd
Ste 200
Chesterfield, MO 63017
Phone (314) 881-4280

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1124206024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8747 WHITE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631442029",
            "telephone_number": "314-413-7579",
            "fax_number": "636-942-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171811",
            "telephone_number": "314-768-8000",
            "fax_number": "636-942-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN VELUZ MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "VELUZ",
        "authorized_official_first_name": "SEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-942-2223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2006020986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "220858",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204470009",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "890179",
            "state": "MO"
        }
    ],
    "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 May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.