Individual provider Active NPI

David Lee Ulrich, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1811124886
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2011004665 Issued in MO
Practice address
621 S New Ballas Rd
Suite 437 a
Saint Louis, MO 63141-8232
Phone
(314) 251-3880
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 2536871 NY
Gastroenterology Physician 207RG0100X 01066972A IN
Gastroenterology Physician 207RG0100X 2011004665 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd
Suite 437 a
Saint Louis, MO 63141-8232

Mailing address

621 S New Ballas Rd
Suite 437 a
Saint Louis, MO 63141-8232
Phone (314) 251-3880

Other identifiers 3

IdentifierTypeStateIssuer
P00793169OtherINRAILROAD MEDICARE
P00844242OtherINRAILROAD MEDICARE
200952330MedicaidIN

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
I20110526000717 MO Practitioner - GastroenterologyPractitioner - Internal Medicine 0648323444 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Gastroenterology LLCGroup PAC ID 8628121795, 66 clinicians
Mercy Hospitals East CommunitiesGroup PAC ID 1658276811, 92 clinicians

Practice addresses (Care Compare)

200 Brevco PLZ
Suite 208
Lake St Louis, MO 63367-2950
Phone (636) 561-9020

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (816) 361-0055

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-2880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Upper gastrointestinal (GI) endoscopy for acid reflux290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2536871NYMDSpecialist
01066972AINMDGastroenterology Physician
2011004665MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Gastroenterology, LLC Single Specialty CurrentSince Apr 5, 2011 Accepting new patients
Mercy Hospitals East Communities CurrentSince Aug 1, 2015 Accepting new patients
Mercy Hospitals East Communities Single Specialty CurrentSince Aug 1, 2015 Accepting new patients
Kansas City Gastroenterology & Hepatology Physicians Group, LLC Single Specialty CurrentSince Oct 25, 2025 Accepting new patients
Jerome H Siegel MDPC Single Specialty PastSince Jul 1, 2007 Accepting new patients
Mercy Hospitals East Communities Single Specialty Past Accepting new patients
Jerome H Siegel MDPC Specialist Past Accepting new patients

Locations

1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101

2330 E Meyer Blvd
Ste 301
Kansas City, MO 64132
Phone (816) 333-5424

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

200 Brevco Plz
Ste 208
Lake St Louis, MO 63367
Phone (314) 251-3880

621 S New Ballas Rd
Ste 584A
Saint Louis, MO 63141
Phone (314) 251-3380

621 S New Ballas Rd
Ste 598A
Saint Louis, MO 63141
Phone (314) 251-3380

621 S New Ballas Rd
Ste 437A
Saint Louis, MO 63141
Phone (314) 251-3880

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

615 S New Ballas Rd
Ste 1200
Saint Louis, MO 63141
Phone (314) 251-2880

Interoperability endpoints

  • Direct secure messaging: dulrich199051@directc.mercy.net

Organizations & group practices 7

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 5

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1811124886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 437 A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 437 A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "2536871",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01066972A",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2011004665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00793169",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00844242",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200952330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.