MID-TOWN MEDICAL PRACTICE, LLC
NPI 1023467008
Internal Medicine in Creve Coeur, MO

Active since June 09, 2016
9 SACKSTON WOODS LN, CREVE COEUR, MO 63141(314) 651-6132 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mid-town Medical Practice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-TOWN MEDICAL PRACTICE, LLC (NPI 1023467008) is a healthcare organization registered as an internal medicine in Creve Coeur, Missouri and active in the NPI registry since June 2016. The organization lists Iqbal Amin, President, as its authorized official.

NPPES Registry Identity

NPI1023467008
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMID-TOWN MEDICAL PRACTICE, LLC
Location Address9 SACKSTON WOODS LNCreve Coeur, MO 63141-8228
Mailing Address424 W 4th StWaterloo, IL 62298-1378 · (877) 748-7030 · Fax (877) 264-9140
Organization SubpartNo
Authorized OfficialIqbal AminPresident · (314) 651-6132
Enumeration DateJune 9, 2016
✔ NPI 1023467008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9 SACKSTON WOODS LN, Creve Coeur, MO 63141

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid-town Medical Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mid-Town Medical Practice, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1184175085
9 SACKSTON WOODS LN
Creve Coeur, MO 63141
(877) 748-7030
Same address
Nurse Practitioner
NPI 1104121102
175 N OAKS PLZ
Saint Louis, MO 63121
(314) 391-9777
✔ PECOS9.1 mi
Internal Medicine
NPI 1184619835
12700 SOUTHFORK RD SUITE 105
Saint Louis, MO 63128
(318) 525-1866
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1447817952
400 MID RIVERS MALL DR
Saint Peters, MO 63376
(636) 279-1516
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Town Medical Practice, LLC's NPI number?

The NPI number for Mid-Town Medical Practice, LLC is 1023467008. It was assigned to this organization in the NPPES registry on June 9, 2016.

Where is Mid-Town Medical Practice, LLC located?

Mid-Town Medical Practice, LLC is located at 9 Sackston Woods Ln, Creve Coeur, MO 63141. The listed phone number is (314) 651-6132.

What is Mid-Town Medical Practice, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mid-Town Medical Practice, LLC enrolled in Medicare?

Yes. Mid-Town Medical Practice, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid-Town Medical Practice, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mid-Town Medical Practice, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mid-Town Medical Practice, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Mid-Town Medical Practice, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid-Town Medical Practice, LLC was last updated on June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.