Individual provider Active NPI

Graeme Mindel, M.D.

  • Nephrology Physician
  • Creve Coeur, MO
National Provider Identifier
1932196854
Registry record updated Dec 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2000153650 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
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2000153650 MO
Nephrology Physician 207RN0300X 2000153650 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

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Barnes Jewish Hospital

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
I20031106000550 MO Practitioner - Nephrology 3779496708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Louis Kidney LLCGroup PAC ID 0143446617, 9 clinicians

Practice addresses (Care Compare)

2655 Muegge Rd
Saint Charles, MO 63303-3145
Phone (314) 720-0900

Hospital & facility affiliations

  • USRC St Charles Dialysis Dialysis facility, Saint Charles, MO, CCN 262645
  • DaVita Maple Valley Dialysis Dialysis facility, Farmington, MO, CCN 262640
  • DaVita Town and Country West Dialysis Dialysis facility, Saint Louis, MO, CCN 262648
  • USRC Ellisville Dialysis Dialysis facility, Ellisville, MO, CCN 262621
  • DaVita St. Louis West Home Training (PD) Dialysis facility, Olivette, MO, CCN 262585
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Kidney, LLC Nephrology CurrentSince Jul 15, 2014 Accepting new patients
Washington University Past Accepting new patients
Hypertension and Kidney Center of St. Louis, LLC Nephrology PastSince Jul 15, 2014 Accepting new patients

Locations

2655 Muegge Rd
Saint Charles, MO 63303
Phone (314) 720-0900

2655 Muegge Rd
Ste 102
Saint Charles, MO 63303
Phone (636) 447-2490

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

12855 N 40 Dr
Ste 205
Saint Louis, MO 63141
Phone (314) 720-0900

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Interoperability endpoints

  • Direct secure messaging: graeme.mindel@direct.davitaphysiciansolutions.com

Organizations & group practices 3

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

Hospital & facility affiliations 10

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701561600000",
    "number": "1932196854",
    "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": "MINDEL",
        "first_name": "GRAEME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2000153650",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2000153650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "EMR",
            "affiliationName": "Barnes Jewish Hospital",
            "address_1": "1 Barnes-Jewish Hospital Plz",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.