St Louis Nephrology Associates LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ST LOUIS NEPHROLOGY ASSOCIATES LLC

Practice address

10004 Kennerly Rd Ste 361B
Saint Louis, MO 63128-2141

Phone

(314) 843-3449

Fax

(314) 843-8762

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gopal Krishnan, MDNPI 1780658716

Title

Ceo

Phone

(314) 843-3449

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gopal Krishnan, M.D

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1780658716
  Medicare reassignment Care Compare group Authorized official
• Karth Antony, MD

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1790756104
  Medicare reassignment Care Compare group
• Meher S Mallick, M.D.

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1093789034

  IL

  Medicare reassignment
• John Mellas, MD

  • Nephrology Physician
  • Fenton, MO
  • NPI 1497712079
  NPD (past)
• Nabil H Tauk, M.D.

  • Nephrology Physician
  • Saint Louis, MO
  • NPI 1447237904
  NPD (past)
• Joel Dworkin, M.D., PHD

  • Nephrology Physician
  • Little Rock, AR
  • NPI 1841270774
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1619912797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840132",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641840132",
            "telephone_number": "314-843-3449",
            "fax_number": "314-843-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 361B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-843-3449",
            "fax_number": "314-843-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS NEPHROLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "GOPAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-843-3449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS0823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.