Individual provider Active NPI

David Lee Ohlms, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Kirkwood, MO
National Provider Identifier
1588659288
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
R3640 Issued in MO
Practice address
12166 Old Big Bend Rd
Suite 100
Kirkwood, MO 63122-6844
Phone
(314) 909-0211
Fax
(314) 909-0323
NPI assigned
Sep 19, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X R3640 MO Primary
Psychiatry Physician 2084P0800X MDR 3640 MO

Addresses

Primary practice location

12166 Old Big Bend Rd
Suite 100
Kirkwood, MO 63122-6844

Mailing address

12166 Old Big Bend Rd
Suite 100
Kirkwood, MO 63122-6844
Phone (314) 909-0211

Other identifiers 8

IdentifierTypeStateIssuer
65211OtherMOALLIANCE BCBS
113583OtherMOHEALTHLINK
26557OtherMOBLUE CROSS BLUE SHIELD
278086OtherMOVALUE OPTIONS ID
O15017OtherMOEXCLUSIVE CHOICE ID
13303V16942OtherMOGHP
1539568OtherMOUNITED BEHAVIORAL HEALTH
43098515903OtherMOCMR UNITY ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3640MOMDAddiction Medicine (Psychiatry & Neurology) Physician
MDR 3640MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-County Physicians, Inc. Addiction Medicine PastSince Dec 31, 1991 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1588659288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD",
            "address_2": "SUITE 100",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226844",
            "telephone_number": "314-909-0211",
            "fax_number": "314-909-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD",
            "address_2": "SUITE 100",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226844",
            "telephone_number": "314-909-0211",
            "fax_number": "314-909-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLMS",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MO",
            "license": "R3640",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "MDR 3640",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE BCBS",
            "identifier": "65211",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "113583",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26557",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS ID",
            "identifier": "278086",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCLUSIVE CHOICE ID",
            "identifier": "O15017",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "13303V16942",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "1539568",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMR UNITY ID",
            "identifier": "43098515903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.