Active NPI
Eldin Duderija, MD
- Cardiovascular Disease Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2018004998
- Practice address
- 625 S New Ballas Rd Ste 2030
Saint Louis, MO 63141-8253 - Phone
- (314) 283-6029
- NPI assigned
- Apr 6, 2015
- Last updated
- May 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 2018004998 | MO | Primary |
Addresses
Primary practice location
625 S New Ballas Rd Ste 2030
Saint Louis, MO 63141-8253
Mailing address
625 S New Ballas Rd Ste 2030
Saint Louis, MO 63141-8253
Phone (314) 251-1700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 S New Ballas Rd
Suite 2015
Saint Louis, MO 63141-8253
Phone (314) 251-1700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Heart and Vascular, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Saint Luke's Physician Group Inc | Cardiovascular Disease | Past | Accepting new patients |
Locations
15945 Clayton Rd
Ste 230A
Ballwin, MO 63011
Phone (636) 256-5240
755 Dunn Rd
Ste 160
Hazelwood, MO 63042
Phone (314) 251-1775
625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775
12348 Old Tesson Rd
Ste 260
Saint Louis, MO 63128
Phone (314) 251-1777
10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807
625 S New Ballas Rd
Ste 2030
Saint Louis, MO 63141
Phone (314) 251-5800
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1932176401
-
dba Saint Luke's Medical Group
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
Cardiovascular Disease
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1942695937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S NEW BALLAS RD STE 2030",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418253",
"telephone_number": "314-251-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S NEW BALLAS RD STE 2030",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418253",
"telephone_number": "314-283-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDERIJA",
"first_name": "ELDIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-06",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2018004998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.