NPIMap

Organization Active NPI

Washington University Clinical Associates Blue Fish LLC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1972912087
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
WASHINGTON UNIVERSITY CLINICAL ASSOCIATES BLUE FISH LLC
Practice address
1000 Des Peres Rd Ste 280
Saint Louis, MO 63131-2064
Phone
(314) 996-8500
NPI assigned
Aug 4, 2014
Last updated
May 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Ms. Cathy Eghigian
Title
Senior Director Wu Managed Care
Phone
(314) 273-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1000 Des Peres Rd Ste 280
Saint Louis, MO 63131-2064

Mailing address

PO Box 7412023
Chicago, IL 60674-2011
Phone (314) 966-8500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141210000253 MO Part B Supplier - Clinic/Group Practice 6002138666 Receives reassigned benefits from 11 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

1000 Des Peres Rd
Ste 280
Saint Louis, MO 63131
Phone (314) 966-8500

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1972912087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412023",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-966-8500",
            "fax_number": "314-966-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DES PERES RD STE 280",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312064",
            "telephone_number": "314-996-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON UNIVERSITY CLINICAL ASSOCIATES BLUE FISH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "EGHIGIAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR WU MANAGED CARE",
        "authorized_official_telephone_number": "314-273-0770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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 2, 2025; 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.