Individual provider Active NPI

Kathryn L Galie, MD

  • Colon & Rectal Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1164433512
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
2006020969 Issued in MO
Practice address
621 S New Ballas Rd Ste 7011B
Saint Louis, MO 63141-8275
Phone
(314) 251-6840
Fax
(314) 251-7347
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2006020969 MO
Colon & Rectal Surgery Physician 208C00000X 2006020969 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 7011B
Saint Louis, MO 63141-8275

Mailing address

621 S New Ballas Rd Ste 7011B
Saint Louis, MO 63141-8275
Phone (314) 251-6840

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060920000373 MO Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5193729689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Saint Louis University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 7011B
Saint Louis, MO 63141-8275
Phone (314) 251-6840

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy28
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Surgical Specialists, LLC Surgery CurrentSince Jun 1, 2012 Accepting new patients
Mercy Clinic Gastroenterology, LLC CurrentSince Sep 1, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Mercy Clinic East Communities Past Accepting new patients

Locations

200 Brevco Plz
Ste 208
Lake St Louis, MO 63367
Phone (314) 251-3880

621 S New Ballas Rd
Ste 7011B
Saint Louis, MO 63141
Phone (314) 251-6840

10012 Kennerly Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 525-4225

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

Interoperability endpoints

  • Direct secure messaging: kgalie100309@directc.mercy.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1164433512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 7011B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418275",
            "telephone_number": "314-251-6840",
            "fax_number": "314-251-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 7011B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418275",
            "telephone_number": "314-251-6840",
            "fax_number": "314-251-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALIE",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2006020969",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "2006020969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.