Active NPI
Stephen Veluz MD, LLC
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1124206024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2006020986
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220858 | Other | MO | ANTHEM BCBS |
| 204470009 | Medicaid | MO | |
| 890179 | Other | MO | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1730293192
-
- Surgical Physician Assistant
- Chesterfield, MO
- NPI 1215202510
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.