NPIMap

Organization Active NPI

Medical Weight Management Specialists, LLC

  • Obesity Medicine (Internal Medicine) Physician
  • Chesterfield, MO
National Provider Identifier
1891236360
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
MEDICAL WEIGHT MANAGEMENT SPECIALISTS, LLC
Practice address
111 Saint Lukes Center Dr Ste 44B
Chesterfield, MO 63017-3509
Phone
(314) 205-1926
Fax
(314) 205-1076
NPI assigned
Mar 16, 2017
Organization subpart
Yes
Parent organization
ST. LUKE'S MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
James Snider
Title
V. P. Physician Network
Phone
(636) 685-7804

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Obesity Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RB0002X Primary

Addresses

Primary practice location

111 Saint Lukes Center Dr Ste 44B
Chesterfield, MO 63017-3509

Mailing address

121 Saint Lukes Center Dr
Ste 200
Chesterfield, MO 63017-3518
Phone (636) 685-7804

Other practice location 1

121 Saint Lukes Center Dr Ste 305
Chesterfield, MO 63017-3519
Phone (314) 205-1926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170524002366 MO Part B Supplier - Clinic/Group Practice 5193092088 Receives reassigned benefits from 7 practitioners
Practice locations: Chesterfield, MO

National Provider Directory

National Provider Directory
Part of
St Lukes Medical Group

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1891236360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR",
            "address_2": "STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173518",
            "telephone_number": "636-685-7804",
            "fax_number": "314-576-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAINT LUKES CENTER DR STE 44B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "314-205-1926",
            "fax_number": "314-205-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Saint Lukes Center Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173519",
            "country_code": "US",
            "telephone_number": "314-205-1926",
            "fax_number": "314-205-1076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL WEIGHT MANAGEMENT SPECIALISTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S MEDICAL GROUP",
        "enumeration_date": "2017-03-16",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "V. P. PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "636-685-7804"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 5, 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.