NPIMap

Organization Active NPI

University Pediatric Associates LLC

  • Pediatrics Physician
  • Chesterfield, MO
National Provider Identifier
1851773634
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
UNIVERSITY PEDIATRIC ASSOCIATES LLC
Practice address
13001 North Outer 40 Rd
Suite 310
Chesterfield, MO 63017-5941
Phone
(314) 454-6400
NPI assigned
Jun 29, 2015
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Ms. Cathy Eghigian
Title
Senior Director Managed Care
Phone
(314) 273-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

13001 North Outer 40 Rd
Suite 310
Chesterfield, MO 63017-5941

Mailing address

PO Box 7412029
Chicago, IL 60674-2011
Phone (314) 454-6400

Other names 1

  • Washington University Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151001001705 MO Part B Supplier - Clinic/Group Practice 6709194343 Receives reassigned benefits from 3 practitioners
Practice locations: Chesterfield, MO

National Provider Directory

National Provider Directory

Locations

13001 North Outer 40 Rd
Ste 310
Chesterfield, MO 63017
Phone (314) 454-6400

8888 Ladue Rd
Ste 130
Saint Louis, MO 63124
Phone (314) 862-4002

Practitioners & affiliated clinicians

Practitioners 6

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": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1851773634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412029",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-454-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13001 NORTH OUTER 40 RD",
            "address_2": "SUITE 310",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175941",
            "telephone_number": "314-454-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PEDIATRIC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "EGHIGIAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR MANAGED CARE",
        "authorized_official_telephone_number": "314-273-0770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington University",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.