Active NPI
David Lee Ulrich, M.D.
- Gastroenterology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2011004665
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00793169 | Other | IN | RAILROAD MEDICARE |
| P00844242 | Other | IN | RAILROAD MEDICARE |
| 200952330 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Indiana University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 59 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 290 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2536871 | NY | MD | Specialist |
| 01066972A | IN | MD | Gastroenterology Physician |
| 2011004665 | MO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Gastroenterology, LLC | Single Specialty | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Single Specialty | Current | Accepting new patients |
| Kansas City Gastroenterology & Hepatology Physicians Group, LLC | Single Specialty | Current | Accepting new patients |
| Jerome H Siegel MDPC | Single Specialty | Past | 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
- 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.
-
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1528295334
Single Specialty
-
dba Mercy JFK Clinic
- Clinic/Center
- Saint Louis, MO
- NPI 1851431738
Single Specialty
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1497019350
MO, Single Specialty
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Single Specialty
-
- Specialist
- New York, NY
- NPI 1881851194
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
-
dba Research Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1134187842
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.