Active NPI
Thomas John Gniadek, MD PHD
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2024018547
- Practice address
- 1402 S Grand Blvd
Saint Louis, MO 63104-1004 - Phone
- (314) 617-2000
- NPI assigned
- Mar 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 036145372 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036145372 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2024018547 | MO | Primary |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 2024018547 | MO |
Addresses
Primary practice location
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Mailing address
844 Knollwood Rd
Deerfield, IL 60015-3313
Phone (203) 806-0125
Other practice location 1
300 S 6th St # Mc604
Minneapolis, MN 55487-0999
Phone (612) 596-1036
Other practice location 2
844 Knollwood Rd
Deerfield, IL 60015-3313
Phone (203) 806-0125
Other practice location 3
2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone (612) 813-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036145372 | IL | MD | Blood Banking & Transfusion Medicine Physician |
| 2024018547 | MO | MD | Blood Banking & Transfusion Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Hennepin Healthcare System, Inc | Current | Accepting new patients | |
| Hennepin Healthcare System Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Blood Banking & Transfusion Medicine | Past | Accepting new patients |
Locations
701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005
701 Park Ave
#350
Minneapolis, MN 55415
Phone (612) 873-5334
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1402 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 577-8762
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hennepin County Medical Center
- Rehabilitation Hospital Unit
- Minneapolis, MN
- NPI 1033138136
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Anatomic Pathology & Clinical Pathology
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
dba HCMC Specialty Services Pharmacy
- Specialty Pharmacy
- Minneapolis, MN
- NPI 1619567625
-
dba Hennepin County Medical Center
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Blood Banking & Transfusion Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hennepin County Medical Center
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1205101334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 KNOLLWOOD RD",
"city": "DEERFIELD",
"state": "IL",
"postal_code": "600153313",
"telephone_number": "203-806-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041004",
"telephone_number": "314-617-2000"
}
],
"practiceLocations": [
{
"address_1": "300 S 6th St # Mc604",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554870999",
"country_code": "US",
"telephone_number": "612-596-1036",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "844 Knollwood Rd",
"address_purpose": "LOCATION",
"city": "Deerfield",
"state": "IL",
"postal_code": "600153313",
"country_code": "US",
"telephone_number": "203-806-0125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 Chicago Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554044518",
"country_code": "US",
"telephone_number": "612-813-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GNIADEK",
"first_name": "THOMAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-22",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "IL",
"license": "036145372",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036145372",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "2024018547",
"primary": true
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "MO",
"license": "2024018547",
"primary": false
}
],
"identifiers": [],
"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 Jan 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.