Organization Active NPI

St. Louis County Nephrology

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1811777519
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST. LOUIS COUNTY NEPHROLOGY
Practice address
10004 Kennerly Rd Ste 103a
Saint Louis, MO 63128-2173
Phone
(314) 447-9600
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Nabil Tauk, MDNPI 1447237904
Title
Physician
Phone
(314) 447-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 103a
Saint Louis, MO 63128-2173

Mailing address

10004 Kennerly Rd Ste 103a
Saint Louis, MO 63128-2173
Phone (314) 447-9600

Other names 1

  • Nabil Tauk M.D. Other name

National Provider Directory

National Provider Directory

Locations

10004 Kennerly Rd
Ste 103A
Saint Louis, MO 63128
Phone (314) 447-9600

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1811777519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 103A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282173",
            "telephone_number": "314-447-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 103A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282173",
            "telephone_number": "314-447-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LOUIS COUNTY NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "TAUK",
        "authorized_official_first_name": "NABIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-447-9600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nabil Tauk M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.