NPIMap

Organization Active NPI

NHS South LLC

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1376166066
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NHS SOUTH LLC
Practice address
10004 Kennerly Rd Ste 374B
Saint Louis, MO 63128-2178
Phone
(314) 842-9669
Fax
(314) 842-1017
NPI assigned
May 28, 2020
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Kabeya Mwintshi, MDNPI 1316994460
Title
Owner
Phone
(314) 662-2159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 374B
Saint Louis, MO 63128-2178

Mailing address

PO Box 802841
Kansas City, MO 64180-2841
Phone (314) 842-9669

Other identifiers 2

IdentifierTypeStateIssuer
1376166066MedicaidIL
500084934MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200813000677 MO Part B Supplier - Clinic/Group Practice 1658797246 Receives reassigned benefits from 9 practitioners
Practice locations: Saint Louis, MO; Des Peres, MO; Arnold, MO; Bridgeton, MO; Creve Coeur, MO; Florissant, MO; Saint Ann, MO; Richmond Heights, MO…

National Provider Directory

National Provider Directory

Locations

102 Richardson Xing
Arnold, MO 63010
Phone (636) 467-5619

1224 Graham Rd
Ste 2005
Florissant, MO 63031
Phone (314) 921-7509

1225 Graham Rd
Ste 2005
Florissant, MO 63031
Phone (314) 972-7553

6811 Parker Rd
Florissant, MO 63033

200 Brevco Plz
Ste 202
Lake St Louis, MO 63367
Phone (636) 561-4799

10004 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4100

2840 Target Dr
Saint Louis, MO 63136
Phone (314) 355-1322

8980 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 426-2064

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1376166066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802841",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802841",
            "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 STE 374B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282178",
            "telephone_number": "314-842-9669",
            "fax_number": "314-842-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHS SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "MWINTSHI",
        "authorized_official_first_name": "KABEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-662-2159",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376166066",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500084934",
            "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 Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.