Individual provider Active NPI

Violet Klenov, M.D.

  • Reproductive Endocrinology Physician
  • Creve Coeur, MO
National Provider Identifier
1134484082
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
2019033095 Issued in MO
Practice address
347 N Lindbergh Blvd
Creve Coeur, MO 63141-7811
Phone
(314) 266-2062
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X E-16320 AR
Reproductive Endocrinology Physician 207VE0102X 4301508650 MI
Reproductive Endocrinology Physician 207VE0102X 2019033095 MO Primary
Reproductive Endocrinology Physician 207VE0102X 036.150712 IL

Addresses

Primary practice location

347 N Lindbergh Blvd
Creve Coeur, MO 63141-7811

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Phone (866) 258-8467

Other practice location 1

6 Bronze Pointe S
Swansea, IL 62226-8307
Phone (866) 258-8467

Other practice location 2

2172 Blackberry Dr Ste 204
Geneva, IL 60134-1106
Phone (815) 725-4341

Other practice location 3

2246 Weber Rd
Crest Hill, IL 60403-0928
Phone (815) 725-4161

Other practice location 4

2501 Compass Rd Ste 135
Glenview, IL 60026-8068
Phone (224) 404-2042

Other practice location 5

26400 W 12 Mile Rd Ste 140
Southfield, MI 48034-1753
Phone (248) 780-2070

Other practice location 6

2203 S Promenade Blvd Ste 5185
Rogers, AR 72758-8722
Phone (479) 480-7200

Other practice location 7

333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Phone (866) 258-8467

Other practice location 8

1455 N Milwaukee Ave
Chicago, IL 60622-2015
Phone (773) 435-9036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-16320ARMDReproductive Endocrinology Physician
036.150712ILMDReproductive Endocrinology Physician
4301508650MIMDReproductive Endocrinology Physician
2019033095MOMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integramed Medical Missouri, LLC Reproductive Endocrinology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1134484082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514",
            "telephone_number": "866-258-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N LINDBERGH BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417811",
            "telephone_number": "314-266-2062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Bronze Pointe S",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622268307",
            "country_code": "US",
            "telephone_number": "866-258-8467",
            "fax_number": "618-206-5017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2172 Blackberry Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601341106",
            "country_code": "US",
            "telephone_number": "815-725-4341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2246 Weber Rd",
            "address_purpose": "LOCATION",
            "city": "Crest Hill",
            "state": "IL",
            "postal_code": "604030928",
            "country_code": "US",
            "telephone_number": "815-725-4161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Compass Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600268068",
            "country_code": "US",
            "telephone_number": "224-404-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26400 W 12 Mile Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341753",
            "country_code": "US",
            "telephone_number": "248-780-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2203 S Promenade Blvd Ste 5185",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588722",
            "country_code": "US",
            "telephone_number": "479-480-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 S Desplaines St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606615514",
            "country_code": "US",
            "telephone_number": "866-258-8467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606222015",
            "country_code": "US",
            "telephone_number": "773-435-9036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLENOV",
        "first_name": "VIOLET",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AR",
            "license": "E-16320",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "4301508650",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MO",
            "license": "2019033095",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IL",
            "license": "036.150712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.