Individual provider Active NPI

Laird Henry Vermont, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1235190570
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
109831 Issued in MO
Practice address
845 N New Ballas CT
Ste 205
Saint Louis, MO 63141-7134
Phone
(314) 859-4460
Fax
(833) 740-4372
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 109831 MO Primary

Addresses

Primary practice location

845 N New Ballas CT
Ste 205
Saint Louis, MO 63141-7134

Mailing address

PO Box 7412065
Chicago, IL 60674-2065
Phone (314) 859-4460

Other identifiers 1

IdentifierTypeStateIssuer
204884209MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20111012000664 MO Practitioner - Pediatric Medicine 7911179122 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Feb 1, 2024 Accepting new patients
Washington University Pediatrics Current Accepting new patients
Washington University CurrentSince Feb 1, 2024 Accepting new patients
Mercy Clinic East Communities Pediatrics CurrentSince Jul 30, 2011 Accepting new patients
Mercy Clinic East Communities CurrentSince Jul 30, 2011 Accepting new patients
Washington University Past Accepting new patients
Mercy Clinic Burn and Plastic Surgery, LLC PastSince Jan 1, 2005 Accepting new patients

Locations

456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141
Phone (314) 567-0578

845 N New Ballas Ct
Ste 205
Saint Louis, MO 63141
Phone (314) 859-4460

522 N New Ballas Rd
Ste 300
Saint Louis, MO 63141
Phone (314) 405-9556

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

621 S New Ballas Rd
Ste 7003B
Saint Louis, MO 63141
Phone (314) 251-5570

Interoperability endpoints

  • Direct secure messaging: lvermont1141@directc.mercy.net

Organizations & group practices 7

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1235190570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412065",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742065",
            "telephone_number": "314-859-4460",
            "fax_number": "833-740-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT",
            "address_2": "STE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417134",
            "telephone_number": "314-859-4460",
            "fax_number": "833-740-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMONT",
        "first_name": "LAIRD",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "109831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204884209",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "845 N New Ballas Ct",
            "address_2": "STE 205",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631417134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.