NPIMap

Organization Active NPI

St Louis Medical Professionals, LLC

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1396826152
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST LOUIS MEDICAL PROFESSIONALS, LLC
Practice address
8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140
Phone
(314) 543-2800
Fax
(314) 543-2801
NPI assigned
Oct 18, 2006
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Neeveen Salama
Title
Billing
Phone
(314) 543-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Infectious Disease Physician 207RI0200X NU

Addresses

Primary practice location

8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140

Mailing address

8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140
Phone (314) 543-2800

Other identifiers 4

IdentifierTypeStateIssuer
133658OtherMOBLUE CROSS BLUE SHIELD
507345502MedicaidMO
CJ3494OtherMOMEIDCARE RAILROAD
62328300001OtherMODMEPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051201000971 MO Part B Supplier - Clinic/Group Practice 7012937253 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Saint Louis, MO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3535 S Jefferson Ave
Ste 111
Saint Louis, MO 63118
Phone (314) 543-2800

8790 Watson Rd
Ste 100
Saint Louis, MO 63119
Phone (314) 543-2800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13162/brand/1/csg/1/fhir/r4

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1396826152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-543-2800",
            "fax_number": "314-543-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-543-2800",
            "fax_number": "314-543-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS MEDICAL PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "NEEVEEN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "314-543-2800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "133658",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507345502",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEIDCARE RAILROAD",
            "identifier": "CJ3494",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPTAN",
            "identifier": "62328300001",
            "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 Jun 26, 2024; 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.