Illumination Health, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ILLUMINATION HEALTH, LLC

Practice address

2355 Dougherty Ferry Rd Ste 410
Saint Louis, MO 63122-3325

Phone

(314) 835-4873

Fax

(314) 336-6475

NPI assigned

Jul 22, 2021

Organization subpart

Yes

Parent organization

ST. LUKES MEDICAL GROUPAs reported in NPPES

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

Authorized official

Name

James Snider

Title

V.P. Physician Network

Phone

(636) 685-7804

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Part of

St Lukes Medical Group

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945
  NPPES parent name

Practitioners 2

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

• Sara Hawatmeh, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1710368584

  Internal Medicine, MO

  Medicare reassignment NPD
• Kristina Potts

  • Family Nurse Practitioner
  • Fenton, MO
  • NPI 1356747513

  MO

  Medicare reassignment NPD

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1992378384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173518",
            "telephone_number": "636-685-7804",
            "fax_number": "314-576-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 DOUGHERTY FERRY RD STE 410",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223325",
            "telephone_number": "314-835-4873",
            "fax_number": "314-336-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 Dougherty Ferry Rd.",
            "address_2": "Ste 408",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "63017",
            "country_code": "US",
            "telephone_number": "314-835-4873",
            "fax_number": "314-336-6475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLUMINATION HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKES MEDICAL GROUP",
        "enumeration_date": "2021-07-22",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "V.P. PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "636-685-7804"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uchenna Therese Ikediobi, M.D.
• Arfa Ikram, MD
• Obeid Noor Ilahi, MD
• Summer Dawn Ilcken, CCC-SLP
• Genevieve Ille
• Chike Augustine Ilorah, M.D
• Kasongo R. Ilunga-M'Pande
• Seohyun Janice Im, MD
• Image Choices, Incorporated
• Imagine Academy of Esm

• All providers in Saint Louis, MO
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.