NPIMap

Individual provider Active NPI

Nathaniel Cantey Reisinger, MD

  • Nephrology Physician
  • Creve Coeur, MO
National Provider Identifier
1881960938
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2024037985 Issued in MO
Practice address
456 N New Ballas Rd Ste 348
Creve Coeur, MO 63141-6846
Phone
(314) 548-0265
Fax
(314) 548-6555
NPI assigned
Mar 22, 2012
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2024037985 MO Primary

Addresses

Primary practice location

456 N New Ballas Rd Ste 348
Creve Coeur, MO 63141-6846

Mailing address

PO Box 78429
Saint Louis, MO 63178-8429
Phone (314) 548-0265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170606000700 PA Practitioner - NephrologyPractitioner - Emergency Medicine 9133418379 Reassigns benefits to 2 organizations
I20250227003431 MO Practitioner - Nephrology 9133418379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Texas Southwestern Medical School at Dallas, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Kidney LLCGroup PAC ID 0143446617, 9 clinicians

Practice addresses (Care Compare)

456 N New Ballas Rd
Suite 348
Creve Coeur, MO 63141-6846
Phone (314) 548-0265

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2017 Accepting new patients
University of Penn - Medical Group Nephrology CurrentSince Jul 1, 2017 Accepting new patients
St Louis Kidney, LLC Nephrology CurrentSince Mar 1, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2017 Accepting new patients

Locations

456 N New Ballas Rd
Ste 348
Saint Louis, MO 63141
Phone (314) 548-0265

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

PO B0x 824320
Philadelphia, PA 19182

Interoperability endpoints

  • Direct secure messaging: nreisinger43043@direct.davitaphysiciansolutions.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1881960938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78429",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631788429",
            "telephone_number": "314-548-0265",
            "fax_number": "314-548-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 348",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416846",
            "telephone_number": "314-548-0265",
            "fax_number": "314-548-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISINGER",
        "first_name": "NATHANIEL",
        "middle_name": "CANTEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2024037985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.