NPIMap

Organization Active NPI

Hypertension and Kidney Center of St. Louis, LLC

  • Nephrology Physician
  • Saint Louis, MO
National Provider Identifier
1689088080
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
106145 Issued in MO
Legal business name
HYPERTENSION AND KIDNEY CENTER OF ST. LOUIS, LLC
Practice address
3009 N Ballas Rd Ste 210
Saint Louis, MO 63131-2323
Phone
(314) 924-3924
Fax
(314) 548-2255
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Dr. Tricia Pavlopoulos, MDNPI 1932171220
Title
Member
Phone
(314) 924-3924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 106145 MO Primary

Addresses

Primary practice location

3009 N Ballas Rd Ste 210
Saint Louis, MO 63131-2323

Mailing address

PO Box 411607
Saint Louis, MO 63141-3607
Phone (314) 432-1047

Other practice location 1

3844 S Lindbergh Blvd Ste 125
Saint Louis, MO 63127-1416
Phone (314) 924-3924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141013001998 MO Part B Supplier - Clinic/Group Practice 9638399793 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO; Saint Peters, MO; St Ann, MO; St Louis, MO; St. Louis, MO; Washington, MO; Florissant, MO; Bridgeton, MO…

National Provider Directory

National Provider Directory

Locations

13119 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 383-3252

14001 New Halls Ferry Rd
Florissant, MO 63033

13015 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 931-1113

929 Waterbury Falls Dr
O Fallon, MO 63368
Phone (636) 300-4036

2655 Muegge Rd
Saint Charles, MO 63303
Phone (314) 720-0900

3009 N Ballas Rd
Ste 210
Saint Louis, MO 63131
Phone (314) 872-7800

2610 Clark Ave
Saint Louis, MO 63103
Phone (314) 534-0909

3009 N Ballas Rd
Ste 142
Saint Louis, MO 63131
Phone (314) 924-3924

325 De Baliviere Ave
Saint Louis, MO 63112
Phone (314) 367-9111

12855 N 40 Dr
Lowr 4
Saint Louis, MO 63141
Phone (314) 878-0016

7435 Watson Rd
Saint Louis, MO 63119
Phone (314) 961-8180

9 Lincoln Ctr
Troy, MO 63379
Phone (636) 462-4940

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1689088080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411607",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631413607",
            "telephone_number": "314-432-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312323",
            "telephone_number": "314-924-3924",
            "fax_number": "314-548-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3844 S Lindbergh Blvd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271416",
            "country_code": "US",
            "telephone_number": "314-924-3924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HYPERTENSION AND KIDNEY CENTER OF ST. LOUIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "PAVLOPOULOS",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-924-3924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "106145",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 23, 2023; 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.