Active NPI
Kabeya Mwintshi, MD
- Nephrology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 200600001779
- Practice address
- 10004 Kennerly Rd
Suite 374B
Saint Louis, MO 63128-2141 - Phone
- (314) 842-9669
- Fax
- (314) 842-1017
- NPI assigned
- May 27, 2006
- Last updated
- Dec 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2006001779 | MO | |
| Nephrology Physician | 207RN0300X | 200600001779 | MO | Primary |
Addresses
Primary practice location
10004 Kennerly Rd
Suite 374B
Saint Louis, MO 63128-2141
Mailing address
10004 Kennerly Rd
Suite 374B
Saint Louis, MO 63128-2141
Phone (314) 842-9669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316994460 | Medicaid | MO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10004 Kennerly Rd
Suite 374B
Saint Louis, MO 63128-2141
10004 Kennerly Rd
Suite 374B
Saint Louis, MO 63128-2178
Phone (314) 842-9669
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1000
10241 Lewis and Clark Blvd
Saint Louis, MO 63136-5505
Phone (314) 842-9669
10951 Saint Charles Rock Rd
Saint Ann, MO 63074-1505
Phone (314) 842-9669
11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5000
1224 Graham Rd
Suite 2005
Florissant, MO 63031-8026
Phone (314) 842-9669
12303 Depaul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000
13119 New Halls Ferry Rd
Florissant, MO 63033-3228
Phone (314) 842-9669
14001 New Halls Ferry Rd
Suite 133
Florissant, MO 63033-2708
Phone (314) 842-9669
1554 Sierra Vista PLZ
Saint Louis, MO 63138-2040
Phone (314) 842-9669
25 N Oaks PLZ
Saint Louis, MO 63121-2911
Phone (314) 842-9669
6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000
8029 W Florissant Ave
Saint Louis, MO 63136-1400
Phone (314) 842-9669
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006001779 | MO | MD | Emergency Medicine Physician |
| 200600001779 | MO | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NHS South LLC | Nephrology | Current | Accepting new patients |
Locations (25 of 45)
102 Richardson Xing
Arnold, MO 63010
Phone (636) 467-5619
2194 Michigan Ave
Arnold, MO 63010
Phone (636) 287-1160
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700
12380 Natural Bridge Rd
Bridgeton, MO 63044
Phone (314) 344-3001
1224 Graham Rd
Ste 2005
Florissant, MO 63031
Phone (314) 921-7509
13119 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 383-3252
14001 New Halls Ferry Rd
Ste 133
Florissant, MO 63033
Phone (314) 839-7416
3 Grandview Plaza Shopping Ctr
Florissant, MO 63033
Phone (314) 830-0234
577 Howdershell Rd
Florissant, MO 63031
Phone (314) 831-2178
6811 Parker Rd
Florissant, MO 63033
936 Charbonier Rd
Florissant, MO 63031
Phone (314) 831-4800
637 Dunn Rd
Ste 125
Hazelwood, MO 63042
Phone (314) 731-8039
10951 Saint Charles Rock Rd
Saint Ann, MO 63074
Phone (314) 739-4691
10004 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 303-9799
10004 Kennerly Rd
Ste 374B
Saint Louis, MO 63128
Phone (314) 294-9210
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
10241 Lewis and Clark Blvd
Saint Louis, MO 63136
Phone (314) 868-5982
10435 Clayton Rd
Ste 201
Saint Louis, MO 63131
Phone (314) 567-0645
10887 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 524-5737
11107 S Towne Sq
Saint Louis, MO 63123
Phone (314) 849-3400
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
12654 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128
Phone (314) 729-7979
13134 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 843-7390
1425 Hampton Ave
Saint Louis, MO 63139
Phone (314) 781-4022
Interoperability endpoints
- kmwintshi15090@direct-ehr-ssmhc.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Saint Louis, MO
- NPI 1376166066
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hazelwood Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hazelwood, MO
- NPI 1194786814
Dialysis facility
-
dba Westfall Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Jennings, MO
- NPI 1356884142
Dialysis facility
-
dba North St Louis County Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Florissant, MO
- NPI 1679764864
Dialysis facility
-
dba Chambers Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Saint Louis, MO
- NPI 1881980498
Dialysis facility
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
dba Christian Hospital
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Hospital
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba SSM Health Cardinal Glennon Children's Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
dba SSM Health DePaul Hospital - St. Louis
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
dba SSM Health St. Mary's Hospital - St. Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1316994460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10004 KENNERLY RD",
"address_2": "SUITE 374B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282141",
"telephone_number": "314-842-9669",
"fax_number": "314-842-1017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 KENNERLY RD",
"address_2": "SUITE 374B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282141",
"telephone_number": "314-842-9669",
"fax_number": "314-842-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MWINTSHI",
"first_name": "KABEYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2006001779",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MO",
"license": "200600001779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316994460",
"state": "MO"
}
],
"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 Dec 21, 2023; 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.