Individual provider Active NPI

Nabil H Tauk, M.D.

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1447237904
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
R7A06 Issued in MO
Practice address
10004 Kennerly Rd Ste 103a
Saint Louis, MO 63128-2173
Phone
(314) 543-5235
Fax
(314) 543-5216
NPI assigned
Dec 27, 2005
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X R7A06 MO Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 103a
Saint Louis, MO 63128-2173

Mailing address

10004 Kennerly Rd Ste 103a
Saint Louis, MO 63128-2173
Phone (314) 543-5235

Other identifiers 1

IdentifierTypeStateIssuer
201340239MedicaidMO

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
I20050406000295 MO Practitioner - NephrologyPractitioner - Internal Medicine 2163334160 Receives reassigned benefits from 1 practitioner
Practice locations: St Louis, MO; Bridgeton, MO; University City, MO; St Ann, MO; Chesterfield, MO; Creve Coeur, MO; Crystal City, MO; Ellisville, MO…

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10004 Kennerly Rd
103A
Saint Louis, MO 63128-2173
Phone (314) 543-5235

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1000

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-8100

1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000

10241 Lewis and Clark Blvd
Saint Louis, MO 63136-5505
Phone (314) 868-5982

11133 Dunn Rd
Saint Louis, MO 63136-6119
Phone (314) 653-5000

12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

12380 Natural Bridge Rd
Bridgeton, MO 63044-2019
Phone (314) 344-3020

12654 Lamplighter SQR Shppng Ctr
Saint Louis, MO 63128-2746
Phone (314) 729-7979

1425 Hampton Ave
Saint Louis, MO 63139-3115
Phone (314) 781-4022

2610 Clark Ave
Saint Louis, MO 63103-2502
Phone (314) 534-0909

3015 N Ballas Rd
St Louis, MO 63131-2329
Phone (314) 996-5000

3535 S Jefferson
201 St Alexius Office
Saint Louis, MO 63118-3905
Phone (314) 577-5778

3740 S Jefferson Ave
Davita South City
Saint Louis, MO 63118-3905
Phone (314) 664-6687

400 N Lindbergh Blvd
Creve Coeur, MO 63141-7814
Phone (314) 989-0886

4030 Chouteau Ave
Saint Louis, MO 63110-1754
Phone (314) 535-2915

4145 Union Rd
Saint Louis, MO 63129-1064
Phone (314) 894-1851

577 Howdershell Rd
Florissant, MO 63031-6401
Phone (314) 831-2178

6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8000

6865 Parker Rd
Florissant, MO 63033-5312
Phone (314) 653-6100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7A06MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St. Louis Past Accepting new patients
St Louis Nephrology Associates LLC Nephrology PastSince Aug 10, 2001 Accepting new patients
Renal Alliance, LLC Nephrology Past Accepting new patients
Hypertension and Kidney Center of St. Louis, LLC Nephrology Past Accepting new patients
St. Louis County Nephrology PastSince Jan 1, 1990 Accepting new patients
Christopher T. Labonte MD LLC Past Accepting new patients
Washington University Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71078

Practitioners & affiliated clinicians

Practitioners 1

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.

Organizations & group practices 8

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1447237904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 103A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282173",
            "telephone_number": "314-543-5235",
            "fax_number": "314-543-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 103A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282173",
            "telephone_number": "314-543-5235",
            "fax_number": "314-543-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUK",
        "first_name": "NABIL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R7A06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201340239",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.