Individual provider Active NPI

Polly Kate David, MD

  • Infectious Disease Physician
  • Saint Louis, MO
National Provider Identifier
1649501834
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2008020857 Issued in MO
Practice address
3535 S Jefferson Ave
Suite 111
Saint Louis, MO 63118-3930
Phone
(314) 543-2895
Fax
(314) 543-2801
NPI assigned
Jan 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2008020857 MO Primary

Addresses

Primary practice location

3535 S Jefferson Ave
Suite 111
Saint Louis, MO 63118-3930

Mailing address

8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140
Phone (314) 543-2800

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
I20100628001042 MO Practitioner - Infectious DiseasePractitioner - Internal Medicine 2668503004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Infectious Disease LLCGroup PAC ID 7315166451, 4 clinicians

Practice addresses (Care Compare)

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-8100

1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000

12380 De Paul Dr
Bridgeton, MO 63044-2511
Phone (314) 447-9700

224 S Woods Mill Rd
Chesterfield, MO 63017-3513
Phone (314) 977-7455

901 E 5TH St
Washington, MO 63090-3127
Phone (636) 239-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Aco Clinical Services Inc CurrentSince Jan 1, 2025 Accepting new patients
West County Infectious Disease, LLC Infectious Disease CurrentSince Oct 1, 2014 Accepting new patients
Sanjay T. Bhat M.D P.C. Past Accepting new patients
Aspire Internal Medicine, L.L.C. Past Accepting new patients
St Louis Medical Professionals LLC Past Accepting new patients
Clinical Medical Services LLC Past Accepting new patients

Locations

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

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

9911 Kennerly Rd
Ste C
Saint Louis, MO 63128
Phone (314) 458-7403

10004 Kennerly Rd
Ste 392B
Saint Louis, MO 63128
Phone (314) 729-1717

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 6

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 6

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": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1649501834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 WATSON RD",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631195140",
            "telephone_number": "314-543-2800",
            "fax_number": "314-543-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE",
            "address_2": "SUITE 111",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183930",
            "telephone_number": "314-543-2895",
            "fax_number": "314-543-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "POLLY",
        "middle_name": "KATE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2008020857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.