Agafay Weight Loss Center LLC

Primary specialty

Obesity Medicine (Preventive Medicine) PhysicianTaxonomy code 2083B0002X

Legal business name

AGAFAY WEIGHT LOSS CENTER LLC

Practice address

10420 Old Olive Street Rd Ste 100
Saint Louis, MO 63141-5937

Phone

(314) 914-4833

NPI assigned

Feb 24, 2025

Organization subpart

No

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

Authorized official

Name

Peninnah Mutungi, MDNPI 1720251945

Title

MD/Owner

Phone

(401) 787-8864

Specialties & licenses 1

Addresses

Other names 1

• Agafay Weight Loss Center Other name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peninnah Mutungi, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1720251945

  Obesity Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1477359016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415937",
            "telephone_number": "314-914-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 OLD OLIVE STREET RD STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415937",
            "telephone_number": "314-914-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAFAY WEIGHT LOSS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "MUTUNGI",
        "authorized_official_first_name": "PENINNAH",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "401-787-8864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agafay Weight Loss Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Obesity Medicine (Preventive Medicine) Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Obesity Medicine (Preventive Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.