Active NPI
Incredible Heart LLC
- Cardiovascular Disease Physician
- Saint Louis, MO
National Provider Identifier
1275444275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- INCREDIBLE HEART LLC
- Practice address
- 1034 S Brentwood Blvd Ste 694
Saint Louis, MO 63117-1206 - Phone
- (314) 557-2620
- Fax
- (833) 973-4441
- NPI assigned
- Sep 16, 2026
- 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
- Kunal Gurav
- Title
- Ceo
- Phone
- (314) 557-2620
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1034 S Brentwood Blvd Ste 694
Saint Louis, MO 63117-1206
Mailing address
1034 S Brentwood Blvd Ste 694
Saint Louis, MO 63117-1206
Phone (314) 557-2620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1275444275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 S BRENTWOOD BLVD STE 694",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171206",
"telephone_number": "314-557-2620",
"fax_number": "833-973-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 S BRENTWOOD BLVD STE 694",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171206",
"telephone_number": "314-557-2620",
"fax_number": "833-973-4441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INCREDIBLE HEART LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "GURAV",
"authorized_official_first_name": "KUNAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-557-2620"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.