Individual provider Active NPI

Laura Ulmer, D.O

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1548600083
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2019024518 Issued in MO
Practice address
615 S New Ballas Rd Ste 1200
Saint Louis, MO 63141
Phone
(314) 251-2880
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1337 NE
Gastroenterology Physician 207RG0100X 2019024518 MO Primary

Addresses

Primary practice location

615 S New Ballas Rd Ste 1200
Saint Louis, MO 63141

Mailing address

615 S New Ballas Rd Ste 1200
Saint Louis, MO 63141-8221
Phone (314) 251-2880

Other practice location 1

982000 Nebraska Medical Ctr
Omaha, NE 68198-2611
Phone (402) 559-4356

Other practice location 2

200 Brevco Plz Ste 208
Lake Saint Louis, MO 63367-2950
Phone (636) 561-9020

Other practice location 3

1000 E Cherry St Fl 3
Troy, MO 63379-1513
Phone (636) 561-9020

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
I20190827003601 MO Practitioner - Gastroenterology 0042453243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Kansas City University of Physicians and Surgeons, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Gastroenterology LLCGroup PAC ID 8628121795, 66 clinicians

Practice addresses (Care Compare)

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-2880

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital Lincoln Hospital, Troy, MO, CCN 261319
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Upper gastrointestinal (GI) endoscopy for acid reflux72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1337NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Aug 19, 2019 Accepting new patients
Mercy Clinic Gastroenterology, LLC Gastroenterology CurrentSince Aug 19, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Aug 19, 2019 Accepting new patients
Mercy Hospitals East Communities Internal Medicine PastSince Aug 19, 2019 Accepting new patients

Locations

15945 Clayton Rd
Ste 220
Ballwin, MO 63011
Phone (314) 487-9300

200 Brevco Plz
Ste 208
Lake St Louis, MO 63367
Phone (314) 251-3880

615 S New Ballas Rd
Ste 1200
Saint Louis, MO 63141
Phone (314) 251-2880

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Ste 584A
Saint Louis, MO 63141
Phone (314) 251-3380

621 S New Ballas Rd
Ste 598A
Saint Louis, MO 63141
Phone (314) 251-3380

1000 E Cherry St
Fl 3
Troy, MO 63379
Phone (636) 528-3276

Interoperability endpoints

  • Direct secure messaging: lulmer1032111@directc.mercy.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1548600083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD STE 1200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD STE 1200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-251-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "982000 Nebraska Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681982611",
            "country_code": "US",
            "telephone_number": "402-559-4356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Brevco Plz Ste 208",
            "address_purpose": "LOCATION",
            "city": "Lake Saint Louis",
            "state": "MO",
            "postal_code": "633672950",
            "country_code": "US",
            "telephone_number": "636-561-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Cherry St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MO",
            "postal_code": "633791513",
            "country_code": "US",
            "telephone_number": "636-561-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULMER",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "1337",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2019024518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.