Active NPI
Nephrology and Hypertension Specialists, LLC
- Nephrology Physician
- Fenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NEPHROLOGY AND HYPERTENSION SPECIALISTS, LLC
- Practice address
- 1011 Bowles Ave Ste 220
Fenton, MO 63026-2384 - Phone
- (636) 681-3030
- Fax
- (636) 326-1545
- NPI assigned
- Jun 4, 2006
- Last updated
- Jan 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Mellas, MD
- Title
- Partner
- Phone
- (314) 842-9669
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | NU | Primary |
Addresses
Primary practice location
1011 Bowles Ave Ste 220
Fenton, MO 63026-2384
Mailing address
1011 Bowles Ave Ste 220
Fenton, MO 63026-2384
Phone (636) 681-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041101000131 | MO | Part B Supplier - Clinic/Group Practice | 4082501804 | Receives reassigned benefits from 2 practitioners |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Nephrology Physician
- Creve Coeur, MO
- NPI 1770554842
4082501804
National Provider Directory
National Provider DirectoryLocations
1011 Bowles Ave
Ste 220
Fenton, MO 63026
Phone (636) 681-3030
1027 Bellevue Ave
Ste G14
Saint Louis, MO 63117
Phone (314) 768-8475
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Fenton, MO
- NPI 1497712079
-
- Nephrology Physician
- Saint Louis, MO
- NPI 1508846304
-
- Nephrology Physician
- Saint Louis, MO
- NPI 1801876198
-
- Nephrology Physician
- Saint Louis, MO
- NPI 1619957917
-
- Nephrology Physician
- Saint Louis, MO
- NPI 1790756104
-
- Adult Health Nurse Practitioner
- Saint Louis, MO
- NPI 1679294268
-
- Critical Care Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1366653891
-
- Adult Health Nurse Practitioner
- Saint Louis, MO
- NPI 1245896893
-
- Nephrology Physician
- Duluth, MN
- NPI 1407895840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1730127200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 BOWLES AVE STE 220",
"city": "FENTON",
"state": "MO",
"postal_code": "630262384",
"telephone_number": "636-681-3030",
"fax_number": "636-326-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 BOWLES AVE STE 220",
"city": "FENTON",
"state": "MO",
"postal_code": "630262384",
"telephone_number": "636-681-3030",
"fax_number": "636-326-1545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPHROLOGY AND HYPERTENSION SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "MELLAS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "314-842-9669",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MO
- Katherine L Mulherin, N.P.
- Holly Brooks Munson, LMT
- National Seating & Mobility, Inc.
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Shelbi Ann Nelson, PT, DPT
- Lauren Newton, PHARMD
- Huyen Thi Tam Nguyen, PHARMD
- Gregory Peter Nicholas, MPT
- Ann M. Nusser, MS, OTR/L
- Nutritional Support Services (Network Healthcare Missouri)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.