Individual provider Active NPI

Philip Clerc, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Saint Louis, MO
National Provider Identifier
1588002398
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
2022011270 Issued in MO
Practice address
621 S New Ballas Rd Ste 281a
Saint Louis, MO 63141-8256
Phone
(314) 251-4330
NPI assigned
Jun 13, 2013
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 2022011270 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 281a
Saint Louis, MO 63141-8256

Mailing address

621 S New Ballas Rd Ste 281a
Saint Louis, MO 63141-8256
Phone (314) 251-4330

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
I20220824000479 MO Practitioner - Internal Medicine 2961633946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Endocrinology LLCGroup PAC ID 7416073531, 7 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 460a
Saint Louis, MO 63141-8259
Phone (314) 251-4330

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Endocrinology, LLC Endocrinology, Diabetes & Metabolism CurrentSince Sep 6, 2022 Accepting new patients
Mercy Clinic East Communities Internal Medicine PastSince Aug 1, 2022 Accepting new patients

Locations

621 S New Ballas Rd
Ste 281A
Saint Louis, MO 63141
Phone (314) 251-4772

621 S New Ballas Rd
Ste 460A
Saint Louis, MO 63141
Phone (314) 251-4330

Organizations & group practices 2

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

Hospital & facility affiliations 3

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1588002398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 281A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418256",
            "telephone_number": "314-251-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 281A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418256",
            "telephone_number": "314-251-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERC",
        "first_name": "PHILIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MO",
            "license": "2022011270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.