Active NPI
Luis A Giuffra, MD PHD
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1831110618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD103257
- Practice address
- 9890 Clayton Rd
Ste 100
Saint Louis, MO 63124-1685 - Phone
- (314) 725-1515
- Fax
- (314) 725-1654
- NPI assigned
- Jul 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD103257 | MO | Primary |
Addresses
Primary practice location
9890 Clayton Rd
Ste 100
Saint Louis, MO 63124-1685
Mailing address
9890 Clayton Rd
Ste 100
Saint Louis, MO 63124-1685
Phone (314) 725-1515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209768217 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2012 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD103257 | MO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1831110618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9890 CLAYTON RD",
"address_2": "STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241685",
"telephone_number": "314-725-1515",
"fax_number": "314-725-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9890 CLAYTON RD",
"address_2": "STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631241685",
"telephone_number": "314-725-1515",
"fax_number": "314-725-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIUFFRA",
"first_name": "LUIS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "MD103257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209768217",
"state": "MO"
}
],
"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 Nov 2, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.