NPIMap

Organization Active NPI

Washington University

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1942949482
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WASHINGTON UNIVERSITY
Practice address
456 N New Ballas Rd Ste 304
Saint Louis, MO 63141-6846
Phone
(314) 567-0578
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Cathy Eghigian
Title
Sr. Director, Managed Care
Phone
(618) 791-0975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

456 N New Ballas Rd Ste 304
Saint Louis, MO 63141-6846

Mailing address

456 N New Ballas Rd Ste 304
Saint Louis, MO 63141-6846
Phone (314) 567-0578

Other names 1

  • WUCA - Suburban Pediatrics Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221004002811 MO Part B Supplier - Clinic/Group Practice 9830008770 Receives reassigned benefits from 18 practitioners
3 other NPIs on this enrollment
Practice locations: Saint Louis, MO; Creve Coeur, MO; Brentwood, MO

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Washington University Actu Pharmacy81 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

660 S Euclid Ave
Stop 823900871800
Saint Louis, MO 63110

4116 Von Talge Rd
Ste B
Saint Louis, MO 63128
Phone (314) 822-5175

456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141
Phone (314) 567-0578

Practitioners & affiliated clinicians

Practitioners 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1942949482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 304",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416846",
            "telephone_number": "314-567-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 304",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416846",
            "telephone_number": "314-567-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "EGHIGIAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "SR. DIRECTOR, MANAGED CARE",
        "authorized_official_telephone_number": "618-791-0975"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WUCA - Suburban Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 7, 2022; 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.