Active NPI
Midwest Diagnostic Cardiology, LLC
- Cardiovascular Disease Physician
- Chesterfield, MO
National Provider Identifier
1457467755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- MIDWEST DIAGNOSTIC CARDIOLOGY, LLC
- Practice address
- 121 Saint Lukes Center Dr Ste 200
Chesterfield, MO 63017 - Phone
- (314) 682-3628
- Fax
- (314) 576-2344
- NPI assigned
- Aug 21, 2006
- Last updated
- Mar 5, 2026
- Organization subpart
- Yes
- Parent organization
- ST. LUKE'S MEDICAL GROUP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Snider
- Title
- V. P. Physician Network
- Phone
- (636) 685-7804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
121 Saint Lukes Center Dr Ste 200
Chesterfield, MO 63017
Mailing address
121 Saint Lukes Center Dr
Chesterfield, MO 63017-3518
Phone (636) 685-7804
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457467755 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- St Lukes Medical Group
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
222 S Woods Mill Rd
Ste 510
Chesterfield, MO 63017
Phone (414) 343-1500
Practitioners & affiliated clinicians
Practitioners 18
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.
-
- Cardiovascular Disease Physician
- Chesterfield, MO
- NPI 1558450718
-
- Internal Medicine Physician
- Boston, MA
- NPI 1891962296
Cardiovascular Disease, MO
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1962491712
-
- Interventional Cardiology Physician
- Paoli, PA
- NPI 1679774467
Cardiovascular Disease, MO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1457467755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SAINT LUKES CENTER DR",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173518",
"telephone_number": "636-685-7804",
"fax_number": "314-576-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SAINT LUKES CENTER DR STE 200",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "63017",
"telephone_number": "314-682-3628",
"fax_number": "314-576-2344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST DIAGNOSTIC CARDIOLOGY, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. LUKE'S MEDICAL GROUP",
"enumeration_date": "2006-08-21",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "SNIDER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "V. P. PHYSICIAN NETWORK",
"authorized_official_telephone_number": "636-685-7804"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457467755",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
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- Bryan J Micklevitz, PHARMD
- Mid West Clinical Practice LLC
- Mid-West Anesthesia Partners, LLC
- Midamerica Surgery Center
- Midwest Dizziness and Balance Institute LLC (Midwest Dizziness and Balance Institute)
- Midwest Hand and Wrist Surgery PC
- Midwest Heart Rhythm Incorporated
- Midwest Home Health Rehab,Inc.
- Midwest Long Term Care Services LLC (Senior Scripts)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.