Midwest Gastroenterology Consultants, P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

103770 Issued in MO

Legal business name

MIDWEST GASTROENTEROLOGY CONSULTANTS, P.C.

Practice address

13276 Manchester Rd
Saint Louis, MO 63131-1706

Phone

(314) 822-9733

NPI assigned

Oct 22, 2007

Last updated

Aug 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hugo A Villarreal, M.D.NPI 1154418119

Title

Pesident/Owner

Phone

(214) 822-9733

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Midwest Gastroenterology Consultants. P.C.

  • Gastroenterology Physician
  • Saint Louis, MO
  • NPI 1093961351

  9739256280

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Midwest Gastroenterology Consultants. P.C.

  • Gastroenterology Physician
  • Saint Louis, MO
  • NPI 1093961351

  O20080924000624

  Same enrollment

Tax ID family

Midwest Gastroenterology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Midwest Gastroenterology Consultants. P.C.

  • Gastroenterology Physician
  • Saint Louis, MO
  • NPI 1093961351
  NPD tax ID

Locations

Practitioners 3

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.

• Hugo A Villarreal, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
  • NPI 1154418119

  IL

  Medicare reassignment NPD Authorized official
• Maria Acosta-Villarreal, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1578936910
  NPD (past)
• Robert D Childers, MD

  • Urology Physician
  • Jerseyville, IL
  • NPI 1760477376
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1790974244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13276 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311706",
            "telephone_number": "314-822-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13276 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311706",
            "telephone_number": "314-822-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST GASTROENTEROLOGY CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PESIDENT/OWNER",
        "authorized_official_telephone_number": "214-822-9733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "103770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208254003",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463975743",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Midwest Gastroenterology Consultants. P.C.
• Midwest Hand Surgery LLC
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• Midwest Health Professionals PC
• Midwest Healthcare CDS LLC

• Gastroenterology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Gastroenterology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.