NPIMap

Individual provider Active NPI

Laurence J Kinsella, MD

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1770591646
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
36709 Issued in MO
Practice address
3660 Vista
St Louis, MO 63110
Phone
(314) 577-8738
Fax
(314) 268-5101
NPI assigned
Aug 4, 2006
Last updated
Oct 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 36709 MO Primary

Addresses

Primary practice location

3660 Vista
St Louis, MO 63110

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

Other practice location 1

1055 Bowles Ave Ste 200
Fenton, MO 63026-2308
Phone (636) 496-3900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lkinsella16571@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000096 MO Practitioner - NeurologyPractitioner - Internal Medicine 6608906995 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Saint Louis University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

1000 E Cherry St
FL 3
Troy, MO 63379-1513
Phone (636) 528-3276

1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000

1035 Bellevue Ave
Suite 500
Saint Louis, MO 63117-1843
Phone (314) 925-4770

1055 Bowles Ave
Suite 200
Fenton, MO 63026-2308
Phone (636) 496-3900

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pike County Memorial Hospital CurrentSince Nov 8, 2010 Accepting new patients
Pike County Memorial Hospital CurrentSince Nov 8, 2010 Accepting new patients
Mercy East Support Services, LLC Neurology CurrentSince Mar 1, 2015 Accepting new patients
SSM Health Care Group Neurology CurrentSince Jun 8, 2025 Accepting new patients
Pike County Memorial Hospital Current Accepting new patients
Pike County Memorial Hospital Current Accepting new patients
Southeast Missouri Hospital Physicians, LLC Neurology CurrentSince Jun 5, 2014 Accepting new patients
SSM Medical Group, Inc. CurrentSince Jun 1, 2010 Accepting new patients
SSM Health Care Group CurrentSince Jun 8, 2025 Accepting new patients
Mercy Hospital Lincoln CurrentSince Jul 1, 2025 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

1015 W Adams St
Bowling Green, MO 63334
Phone (573) 324-5300

3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1055 Bowles Ave
Ste 200
Fenton, MO 63026
Phone (636) 326-7821

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-1320

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

3691 Rutger St
Saint Louis, MO 63110
Phone (314) 268-4101

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

1000 E Cherry St
Fl 3
Troy, MO 63379
Phone (636) 528-3276

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • Direct secure messaging: lkinsella100169@directc.mercy.net
  • Direct secure messaging: lkinsella16571@direct-ehr-ssmhc.com

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1770591646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 VISTA",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-577-8738",
            "fax_number": "314-268-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 Bowles Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630262308",
            "country_code": "US",
            "telephone_number": "636-496-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINSELLA",
        "first_name": "LAURENCE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "36709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkinsella16571@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lkinsella16571@direct-ehr-ssmhc.com",
            "address_1": "1055 Bowles Ave Ste 200",
            "city": "Fenton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630262308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1055 Bowles Ave Ste 200",
            "city": "Fenton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630262308",
            "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.