NPIMap

Organization Active NPI

St Louis Medical Associates LLC

Doing business as Ozark Nephrology

  • Nephrology Physician
  • Poplar Bluff, MO
National Provider Identifier
1902500630
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ST LOUIS MEDICAL ASSOCIATES LLC
Doing business as
Ozark Nephrology
Ozark Rheumatology
Practice address
2651 Shelby Road
Poplar Bluff, MO 63901-9998
Phone
(573) 843-8380
Fax
(573) 843-8381
NPI assigned
Mar 28, 2023
Organization subpart
Yes
Parent organization
ST. LOUIS MEDICAL ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Raghuveer Kura, MDNPI 1285849927
Title
Owner
Phone
(636) 224-6625

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X
Rural Health Clinic/Center 261QR1300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

2651 Shelby Road
Poplar Bluff, MO 63901-9998

Mailing address

1302 Wildhorse Meadows Dr
Chesterfield, MO 63005-4493

Other practice location 1

2002 Kanell Blvd Ste 201
Poplar Bluff, MO 63901-4045
Phone (573) 843-8380

Other practice location 2

16216 Baxter Rd Ste 390
Chesterfield, MO 63017-4770
Phone (636) 224-6625

Other names 2

  • Ozark Nephrology Doing business as
  • Ozark Rheumatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230715000583 MO Part B Supplier - Clinic/Group Practice 5193185601 Receives reassigned benefits from 14 practitioners
Practice locations: Poplar Bluff, MO
O20231103000330 MO Part A Provider - Rural Health Clinic 5193185601 Practice locations: Poplar Bluff, MO

Rural health clinic certification: CCN 793872

Legal name
ST LOUIS MEDICAL ASSOCIATES LLC
Doing business as
COMMUNITY URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 16, 2025
Last certification
Oct 16, 2025
Ownership / control type
1A
Organization structure
LLCProprietary
Enrollment address
2651 Shelby Rd
Poplar Bluff, MO 63901-2387

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2294171St Louis Medical Associates Dba2651 Shelby Rd, Poplar Bluff, MO 63901Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory
Part of
St Louis Medical Associates LLC

Locations

16216 Baxter Rd
Ste 390
Chesterfield, MO 63017
Phone (636) 224-6625

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Raghuveer R. Kura Individual 5% Or Greater Direct Ownership Interest100 Mar 16, 2022
Corporate OfficerPresident Mar 16, 2022 100%
Operational/Managerial Control Mar 16, 2022 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Raghuveer Kura, M.D.
    • Nephrology Physician
    • Poplar Bluff, MO
    • NPI 1285849927

    5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1902500630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 WILDHORSE MEADOWS DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 SHELBY ROAD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639019998",
            "telephone_number": "573-843-8380",
            "fax_number": "573-843-8381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Kanell Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Poplar Bluff",
            "state": "MO",
            "postal_code": "639014045",
            "country_code": "US",
            "telephone_number": "573-843-8380",
            "fax_number": "573-843-8381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16216 Baxter Rd Ste 390",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630174770",
            "country_code": "US",
            "telephone_number": "636-224-6625",
            "fax_number": "636-489-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST LOUIS MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LOUIS MEDICAL ASSOCIATES LLC",
        "enumeration_date": "2023-03-28",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "KURA",
        "authorized_official_first_name": "RAGHUVEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-224-6625",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozark Nephrology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozark Rheumatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.