Individual provider Active NPI

Rosa A Kincaid, MD

  • Family Medicine Physician
  • Saint Peters, MO
National Provider Identifier
1932109402
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MOR9N99 Issued in MO
Practice address
6658 Mexico Rd
Saint Peters, MO 63376-4131
Phone
(314) 267-9082
NPI assigned
Jul 27, 2005
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MOR9N99 MO Primary
General Practice Physician 208D00000X MOR9N99 MO

Addresses

Primary practice location

6658 Mexico Rd
Saint Peters, MO 63376-4131

Mailing address

2631 Russell Blvd
Saint Louis, MO 63104-2135
Phone (314) 267-9082

Other identifiers 2

IdentifierTypeStateIssuer
217061OtherGHP
0100669OtherUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170320001292 MO Practitioner - General PracticePractitioner - Family Practice 0345204046 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2938MOMDAddiction (Substance Use Disorder) Counselor
MOR9N99MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kincare LLC CurrentSince Jul 8, 2025 Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
County of St Louis Division of Fiscal Management Past Accepting new patients
Carestl Health Past Accepting new patients
Carestl Health Past Accepting new patients

Locations

6658 Mexico Rd
Saint Peters, MO 63376
Phone (314) 267-9082

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1932109402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 RUSSELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631042135",
            "telephone_number": "314-267-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6658 MEXICO RD",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633764131",
            "telephone_number": "314-267-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "ROSA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MOR9N99",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "MOR9N99",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "217061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0100669",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.