Individual provider Active NPI

Felix Emmanuel Herrera, MD

  • Family Medicine Physician
  • St Louis, MO
National Provider Identifier
1699869461
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R6G31 Issued in MO
Practice address
2901 Union Road
Ste 100
St Louis, MO 63125
Phone
(314) 487-5515
Fax
(314) 487-7497
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R6G31 MO Primary

Addresses

Primary practice location

2901 Union Road
Ste 100
St Louis, MO 63125

Mailing address

2901 Union Road
Ste 100
St Louis, MO 63125
Phone (314) 487-5515

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
I20031224000075 MO Practitioner - Family Practice 0547168718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4173 Crescent Dr
Suite a
Saint Louis, MO 63129-1082
Phone (314) 487-5515

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6G31MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Care Center, LLC Family Medicine CurrentSince Aug 15, 2007 Accepting new patients

Locations

4173 Crescent Dr
Ste A
Saint Louis, MO 63129
Phone (314) 254-2420

2901 Union Rd
Ste 100
Saint Louis, MO 63125
Phone (314) 487-5515

Organizations & group practices 1

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 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1699869461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 UNION ROAD",
            "address_2": "STE 100",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63125",
            "telephone_number": "314-487-5515",
            "fax_number": "314-487-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 UNION ROAD",
            "address_2": "STE 100",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63125",
            "telephone_number": "314-487-5515",
            "fax_number": "314-487-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "FELIX",
        "middle_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R6G31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis, MO

Sources for this page

Verify at the official NPI Registry.