NPIMap

Organization Active NPI

Urology of St. Louis, Inc.

Doing business as Neurosurgery of St Louis

  • Specialist
  • Saint Louis, MO
National Provider Identifier
1528017191
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UROLOGY OF ST. LOUIS, INC.
Doing business as
Neurosurgery of St Louis
Sound Health Services
Practice address
12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone
(314) 567-6071
Fax
(314) 453-9965
NPI assigned
May 9, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Angie Smith
Title
Credentialing Manager
Phone
(314) 336-5062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657

Mailing address

PO Box 14369
Saint Louis, MO 63178-4369
Phone (314) 567-6071

Other practice location 1

12855 N 40 Dr Ste 350
Saint Louis, MO 63141-8669
Phone (314) 567-6071

Other practice location 2

3195 Phoenix Center Dr
Washington, MO 63090-5689
Phone (314) 567-6071

Other practice location 3

12855 N 40 Dr Ste 385
Saint Louis, MO 63141-8665
Phone (314) 567-6071

Other practice location 4

12855 N 40 Dr Ste 290
Saint Louis, MO 63141-8622
Phone (314) 567-6071

Other practice location 5

326 Fountains Pkwy
Fairview Heights, IL 62208-2041
Phone (618) 277-3109

Other practice location 6

12855 N 40 Dr Ste Ll
Saint Louis, MO 63141-8663
Phone (314) 567-6071

Other practice location 7

20 Progress Point Pkwy Ste 202
O Fallon, MO 63368-2207
Phone (636) 216-8372

Other practice location 8

3 Saint Elizabeth Blvd Ste 3200
O Fallon, IL 62269-1281
Phone (618) 489-8030

Other practice location 9

6812 State Route 162 Ste 200
Maryville, IL 62062-8562
Phone (618) 288-0900

Other practice location 10

12855 N 40 Dr Ste 125
Saint Louis, MO 63141-8663
Phone (314) 806-1770

Other practice location 11

112 Piper Hill Dr Ste 12
Saint Peters, MO 63376-1690
Phone (636) 996-9202

Other practice location 12

215 Dunn Rd
Florissant, MO 63031-7928
Phone (314) 315-9917

Other practice location 13

3165 McKelvey Rd Ste 102
Bridgeton, MO 63044-2550
Phone (314) 408-3244

Other practice location 14

1010 Old Des Peres Rd
Des Peres, MO 63131-1865
Phone (314) 729-0077

Other practice location 15

1035 Bellevue Ave Ste 211
Richmond Heights, MO 63117-1846
Phone (314) 567-0671

Other practice location 16

3 Saint Elizabeth Blvd Ste 3900
O Fallon, IL 62269-1282
Phone (314) 806-1770

Other practice location 17

3009 N Ballas Rd Ste 250C
Saint Louis, MO 63131-2323
Phone (314) 806-1770

Other practice location 18

9515 Holy Cross Ln Ste 3
Breese, IL 62230-3618
Phone (618) 526-8585

Other practice location 19

12860 Troxler Ave Ste 135
Highland, IL 62249-2898
Phone (618) 288-0900

Other practice location 20

1103 W Liberty St Ste 3045
Farmington, MO 63640-1921
Phone (314) 567-6071

Other practice location 21

12855 N 40 Dr Ste 325
Saint Louis, MO 63141-8668
Phone (314) 567-6071

Other practice location 22

1000 Eleven S Ste 3C
Columbia, IL 62236-1077
Phone (314) 567-6071

Other practice location 23

2 Memorial Dr Ste 102
Alton, IL 62002-6723
Phone (618) 288-0900

Other practice location 24

965 Mattox Dr
Sullivan, MO 63080-2365
Phone (573) 468-7054

Other identifiers 2

IdentifierTypeStateIssuer
CA12404OtherMORR MEDICARE MO
CA1767OtherILRR MEDICARE IL

Other names 2

  • Neurosurgery of St Louis Doing business as
  • Sound Health Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050502001141 IL Part B Supplier - Clinic/Group Practice 6204723786 Receives reassigned benefits from 61 practitioners
Practice locations: Belleville, IL; Litchfield, IL; Maryville, IL; Waterloo, IL
O20050629000005 MO Part B Supplier - Clinic/Group Practice 6204723786 Receives reassigned benefits from 118 practitioners
Practice locations: St. Louis, MO; Saint Peters, MO; Saint Louis, MO; O'Fallon, MO; Richmond Heights, MO; Chesterfield, MO; Des Peres, MO; Florissant, MO…
O20220706001645 MO DME Supplier - Physician - Urology 6204723786 Practice locations: Richmond Heights, MO

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0940139Urology of St Louis, Inc1000 Eleven S - Ste 3 C, Columbia, IL 62236Provider-performed microscopyFeb 4, 2028
14D2021315Urology of St Louis, Inc12860 Troxler Ave - Ste 135, Highland, IL 62249Provider-performed microscopyFeb 16, 2027
14D2189688Urology of St Louis9515 Holy Cross Lane - Ste 3, Breese, IL 62230Provider-performed microscopyAug 3, 2026
14D2275329Urology of St Louis2 Memorial Dr - Ste 102, Alton, IL 62002Provider-performed microscopyJan 18, 2027
26D0716448Urology of St Louis215 Dunn Rd, Florissant, MO 63031Provider-performed microscopyAug 31, 2026
26D2189495Urology of St Louis1035 Bellevue Avenue Ste 211, Richmond Heights, MO 63117Provider-performed microscopyJul 30, 2026
26D2194008Urology of St Louis, Inc3165 McKelvey Rd, Bridgeton, MO 63044Provider-performed microscopySep 27, 2026
26D2218440Urology of St Louis, Inc965 Mattox Drive Urology Suite, Sullivan, MO 63080Provider-performed microscopyMar 28, 2027
26D2222088Urology of St Louis1103 West Liberty Street Suite 3045, Farmington, MO 63640Provider-performed microscopyApr 26, 2027
26D2241011Urology of St Louis3195 Phoenix Center Dr, Urology Suite, Washington, MO 63090Provider-performed microscopyOct 24, 2027
26D2336543Urology of St Louis, Inc20 Progress Point Parkway Ste 202, Dardenne Prairie, MO 63368Provider-performed microscopyJan 5, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

6810 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900

6812 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900

3 Saint Elizabeth Blvd
Ste 3200
O Fallon, IL 62269
Phone (618) 489-8030

3 Saint Elizabeth Blvd
Ste 3900
O Fallon, IL 62269
Phone (314) 806-1770

3165 McKelvey Rd
Ste 102
Bridgeton, MO 63044
Phone (314) 408-3244

4651 Highway K
O Fallon, MO 63368
Phone (314) 523-5300

10004 Kennerly Rd
Ste 271B
Saint Louis, MO 63128
Phone (314) 842-0443

1010 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 238-2535

11155 Dunn Rd
Ste 309E
Saint Louis, MO 63136
Phone (314) 741-9010

450 N New Ballas Rd
Ste 70
Saint Louis, MO 63141
Phone (314) 315-9911

112 Piper Hill Dr
Saint Peters, MO 63376
Phone (636) 441-3444

Practitioners & affiliated clinicians

Practitioners 132

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.

View all 132

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1528017191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14369",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631784369",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 375",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418657",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12855 N 40 Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418669",
            "country_code": "US",
            "telephone_number": "314-567-6071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3195 Phoenix Center Dr",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630905689",
            "country_code": "US",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12855 N 40 Dr Ste 385",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418665",
            "country_code": "US",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12855 N 40 Dr Ste 290",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418622",
            "country_code": "US",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 Fountains Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fairview Heights",
            "state": "IL",
            "postal_code": "622082041",
            "country_code": "US",
            "telephone_number": "618-277-3109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12855 N 40 Dr Ste Ll",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418663",
            "country_code": "US",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Progress Point Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633682207",
            "country_code": "US",
            "telephone_number": "636-216-8372",
            "fax_number": "314-741-5102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Saint Elizabeth Blvd Ste 3200",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691281",
            "country_code": "US",
            "telephone_number": "618-489-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6812 State Route 162 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620628562",
            "country_code": "US",
            "telephone_number": "618-288-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12855 N 40 Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418663",
            "country_code": "US",
            "telephone_number": "314-806-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Piper Hill Dr Ste 12",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761690",
            "country_code": "US",
            "telephone_number": "636-996-9202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Dunn Rd",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630317928",
            "country_code": "US",
            "telephone_number": "314-315-9917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3165 McKelvey Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442550",
            "country_code": "US",
            "telephone_number": "314-408-3244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Old Des Peres Rd",
            "address_purpose": "LOCATION",
            "city": "Des Peres",
            "state": "MO",
            "postal_code": "631311865",
            "country_code": "US",
            "telephone_number": "314-729-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Bellevue Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "MO",
            "postal_code": "631171846",
            "country_code": "US",
            "telephone_number": "314-567-0671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Saint Elizabeth Blvd Ste 3900",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691282",
            "country_code": "US",
            "telephone_number": "314-806-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3009 N Ballas Rd Ste 250C",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631312323",
            "country_code": "US",
            "telephone_number": "314-806-1770",
            "fax_number": "314-558-9017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9515 Holy Cross Ln Ste 3",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622303618",
            "country_code": "US",
            "telephone_number": "618-526-8585",
            "fax_number": "618-526-2855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12860 Troxler Ave Ste 135",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622492898",
            "country_code": "US",
            "telephone_number": "618-288-0900",
            "fax_number": "314-576-3514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 W Liberty St Ste 3045",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401921",
            "country_code": "US",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12855 N 40 Dr Ste 325",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418668",
            "country_code": "US",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Eleven S Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "IL",
            "postal_code": "622361077",
            "country_code": "US",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Memorial Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620026723",
            "country_code": "US",
            "telephone_number": "618-288-0900",
            "fax_number": "314-576-3514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "965 Mattox Dr",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "MO",
            "postal_code": "630802365",
            "country_code": "US",
            "telephone_number": "573-468-7054",
            "fax_number": "573-468-4807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UROLOGY OF ST. LOUIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "314-336-5062"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE MO",
            "identifier": "CA12404",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE IL",
            "identifier": "CA1767",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Neurosurgery of St Louis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sound Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.