Active NPI
Andrew L. Warren, MD
- Vascular & Interventional Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 2015003759
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141 - Phone
- (142) 516-0313
- Fax
- (314) 251-6343
- NPI assigned
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 40475 | OK | |
| Diagnostic Radiology Physician | 2085R0202X | 0447032 | KS | |
| Diagnostic Radiology Physician | 2085R0202X | 2015003759 | MO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 2015003759 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141
Mailing address
11475 Olde Cabin Rd Ste 200
Saint Louis, MO 63141-7129
Phone (314) 991-8200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200041908 | Medicaid | MO | |
| ENROLLED | Medicaid | IL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170519000540 | MO | Practitioner - Diagnostic Radiology | 2062789233 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Utah School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6031
Hospital & facility affiliations
- Mercy Hospital St Louis
- Mercy Hospital Jefferson
- Mercy Hospital Ardmore, Inc
- Mercy Hospital Ada
- Mercy Hospital South
- Mercy Hospital Jefferson
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.77 of 100
- Quality
- 86.95
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0447032 | KS | MD | Diagnostic Radiology Physician |
| 40475 | OK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Imaging Associates LTD | Diagnostic Radiology | Current | Accepting new patients |
| West County Radiological Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
Locations
6836 State Route 162
Maryville, IL 62062
Phone (618) 277-5882
1350 US Highway 61
Crystal Cty, MO 63028
Phone (636) 931-3655
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
630 NW Englewood Rd
Kansas City, MO 64118
Phone (816) 453-2700
510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
10050 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1688
607 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4283
11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500
851 E 5th St
Ste 100
Washington, MO 63090
Phone (636) 239-8258
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
Diagnostic Radiology, MO
-
- Diagnostic Radiology Physician
- Chesterfield, MO
- NPI 1033142146
Diagnostic Radiology, MO
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
Diagnostic Radiology, MO
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Festus, MO
- NPI 1386823631
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1649689282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11475 OLDE CABIN RD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417129",
"telephone_number": "314-991-8200",
"fax_number": "314-569-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "142-516-0313",
"fax_number": "314-251-6343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "ANDREW",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-07",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "40475",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KS",
"license": "0447032",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2015003759",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MO",
"license": "2015003759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200041908",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.