NPIMap

Individual provider Active NPI

Julie Kay Wittenauer, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1609092634
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013019670 Issued in MO
Practice address
621 S New Ballas Rd Ste 6017B
Saint Louis, MO 63141
Phone
(314) 251-4659
NPI assigned
Apr 18, 2007
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.123288 IL
Family Medicine Physician 207Q00000X 2013019670 MO Primary
Hospitalist Physician 208M00000X 036.123288 IL

Addresses

Primary practice location

621 S New Ballas Rd Ste 6017B
Saint Louis, MO 63141

Mailing address

621 S New Ballas Rd Ste 6017B
Saint Louis, MO 63141-8274
Phone (314) 251-4659

Other names 1

  • Dr. Julie Kay Barton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000646 MO Practitioner - Family Practice 8820142904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

3637 S Geyer Rd
Saint Louis, MO 63127-1203
Phone (314) 251-4659

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.123288ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Petre I Anguelinin, LLC CurrentSince Jul 1, 2013 Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Aug 6, 2018 Accepting new patients
Delmar Gardens of Meramec Valley Operating, LLC Past Accepting new patients
Bethesda Long Term Care, Inc Past Accepting new patients
Pacific Manor LLC Past Accepting new patients
Midwest Emergency Management, Inc. Past Accepting new patients
Washington N & R, LLC Past Accepting new patients
NHC Healthcare-Maryland Heights LLC Past Accepting new patients
Crystal Oaks Nursing and Rehab LLC Past Accepting new patients

Locations

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

621 S New Ballas Rd
Ste 6017B
Saint Louis, MO 63141
Phone (314) 251-4652

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Friendship Village ChesterfieldChesterfield, MO, CCN 265121 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 3, 2023
Apr 30, 2025
McClay Senior CareSaint Peters, MO, CCN 265875 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1609092634",
    "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": "314-251-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 6017B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-251-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENAUER",
        "first_name": "JULIE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.123288",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013019670",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.123288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "BARTON",
            "middle_name": "KAY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.