NPIMap

Organization Active NPI

Mercy Clinic Palliative Care, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Saint Louis, MO
National Provider Identifier
1487815643
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
MERCY CLINIC PALLIATIVE CARE, LLC
Practice address
621 S New Ballas Rd
Suite 1015-B
Saint Louis, MO 63141-8232
Phone
(314) 251-3823
Fax
(314) 251-5715
NPI assigned
Jun 20, 2008
Organization subpart
Yes
Parent organization
MERCY CLINIC EAST COMMUNITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Kerry Dunger
Title
Executive Director - Finance
Phone
(314) 364-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

621 S New Ballas Rd
Suite 1015-B
Saint Louis, MO 63141-8232

Mailing address

621 S New Ballas Rd Ste 6017B
Saint Louis, MO 63141-8274
Phone (314) 251-7840

Other practice location 1

1350 US Highway 61
Festus, MO 63028-4124
Phone (636) 543-2420

Other practice location 2

1935 Prairie Dell Rd Ste 500
Union, MO 63084-4329
Phone (636) 583-2508

Other practice location 3

607 S New Ballas Rd Ste 3300
Saint Louis, MO 63141-8219
Phone (314) 251-7840

Other identifiers 1

IdentifierTypeStateIssuer
509168605MedicaidMO

Other names 1

  • Mercy Center for Palliative Care LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080728000283 MO Part B Supplier - Clinic/Group Practice 0941373732 Receives reassigned benefits from 15 practitioners
Practice locations: Festus, MO; Saint Louis, MO

National Provider Directory

National Provider Directory
Part of
St John'S Mercy Medical Group

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

15945 Clayton Rd
Ste 120
Ballwin, MO 63011
Phone (636) 256-5000

901 Patients First Dr
Ste 3300
Washington, MO 63090
Phone (636) 231-6044

901 Patients First Dr
Ste 3700
Washington, MO 63090
Phone (636) 266-7900

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1487815643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 6017B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418274",
            "telephone_number": "314-251-7840",
            "fax_number": "314-251-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 1015-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-3823",
            "fax_number": "314-251-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 US Highway 61",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284124",
            "country_code": "US",
            "telephone_number": "636-543-2420",
            "fax_number": "636-543-2421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1935 Prairie Dell Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Union",
            "state": "MO",
            "postal_code": "630844329",
            "country_code": "US",
            "telephone_number": "636-583-2508",
            "fax_number": "636-583-4862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "607 S New Ballas Rd Ste 3300",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418219",
            "country_code": "US",
            "telephone_number": "314-251-7840",
            "fax_number": "314-251-4173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY CLINIC PALLIATIVE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY CLINIC EAST COMMUNITIES",
        "enumeration_date": "2008-06-20",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "DUNGER",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR - FINANCE",
        "authorized_official_telephone_number": "314-364-3707"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509168605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Center for Palliative Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mercy Center for Palliative Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 25, 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.