NPIMap

Organization Active NPI

Gateway Midwest Healthcare

  • Interventional Pain Medicine Physician
  • Bridgeton, MO
National Provider Identifier
1811368244
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
GATEWAY MIDWEST HEALTHCARE
Practice address
12174 Natural Bridge Rd
Bridgeton, MO 63044-2017
Phone
(314) 481-5000
Fax
(314) 481-3037
NPI assigned
Oct 12, 2015
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Terrence Eric Chavis
Title
Owner
Phone
(314) 551-0338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

12174 Natural Bridge Rd
Bridgeton, MO 63044-2017

Mailing address

12174 Natural Bridge Rd
Bridgeton, MO 63044-2017
Phone (314) 481-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160229000515 MO Part B Supplier - Clinic/Group Practice 8527363639 Receives reassigned benefits from 10 practitioners
Practice locations: Bridgeton, MO; Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

12174 Natural Bridge Rd
Bridgeton, MO 63044
Phone (314) 481-3037

1198 Old Jackson Rd
Farmington, MO 63640
Phone (573) 760-1616

3409 Missouri Ave
Saint Louis, MO 63118
Phone (314) 368-3247

5201 Chippewa St
Ste 300
Saint Louis, MO 63109
Phone (314) 481-5000

1004 Pennsylvania Ave
University City, MO 63130
Phone (314) 240-5613

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1811368244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12174 NATURAL BRIDGE RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442017",
            "telephone_number": "314-481-5000",
            "fax_number": "314-481-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12174 NATURAL BRIDGE RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442017",
            "telephone_number": "314-481-5000",
            "fax_number": "314-481-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY MIDWEST HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-551-0338"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.