Individual provider Active NPI

Marie Lynn Batty, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1710407010
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2020015500 Issued in MO
Practice address
1000 Des Peres Rd
Ste 280
Saint Louis, MO 63131-2064
Phone
(314) 966-8500
Fax
(314) 966-4499
NPI assigned
Jun 27, 2017
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2020015500 MO Primary

Addresses

Primary practice location

1000 Des Peres Rd
Ste 280
Saint Louis, MO 63131-2064

Mailing address

PO Box 7412023
Chicago, IL 60674-2023
Phone (314) 966-8500

Other identifiers 1

IdentifierTypeStateIssuer
200061391MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20200622002147 MO Practitioner - Pediatric Medicine 0143642082 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020015500MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 1, 2020 Accepting new patients
Washington University CurrentSince Jul 1, 2020 Accepting new patients
Washington University Clinical Associates Blue Fish LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076

1 Childrens Pl
#3S34
Saint Louis, MO 63110
Phone (314) 454-6006

1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104

1000 Des Peres Rd
Ste 280
Saint Louis, MO 63131
Phone (314) 966-8500

1234 S Kingshighway Blvd
Ste 1200
Saint Louis, MO 63110

12360 Manchester Rd
Ste 100
Saint Louis, MO 63131
Phone (314) 966-8500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1710407010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412023",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742023",
            "telephone_number": "314-966-8500",
            "fax_number": "314-966-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD",
            "address_2": "STE 280",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312064",
            "telephone_number": "314-966-8500",
            "fax_number": "314-966-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTY",
        "first_name": "MARIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2025-04-15",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2020015500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200061391",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1000 Des Peres Rd",
            "address_2": "Ste 280",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.