SPECIALIST IN AGING SUCCESSFULLY LLC
NPI 1023572690
Internal Medicine - Geriatric Medicine in Bridgeton, MO

Q: What is Specialist In Aging Successfully LLC's NPI number?

The NPI number for Specialist In Aging Successfully LLC is 1023572690. It was assigned to this organization in the NPPES registry on January 28, 2019.

Q: What is Specialist In Aging Successfully LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since January 28, 2019

3466 BRIDGELAND DR STE 105, BRIDGETON, MO 63044(314) 209-5100 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 15, 2021, Feb 14, 2019, Jan 28, 2019 (3 updates tracked since 2019).

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About Specialist In Aging Successfully Llc NPPES

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

SPECIALIST IN AGING SUCCESSFULLY LLC (NPI 1023572690) is a healthcare organization registered as a geriatric medicine in Bridgeton, Missouri and active in the NPI registry since January 2019. The organization lists Asif Bhutto, Member, as its authorized official.

NPPES Registry Identity

NPI1023572690

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameSPECIALIST IN AGING SUCCESSFULLY LLC

Location Address3466 BRIDGELAND DR STE 105Bridgeton, MO 63044-2606

Mailing AddressPo Box 8356Saint Louis, MO 63132-0356 · (314) 209-5100

Phone(314) 209-5100

Organization SubpartNo

Authorized OfficialAsif BhuttoMember · (314) 209-5100

Enumeration DateJanuary 28, 2019

Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration

NPPES CertifiedMarch 15, 2021

✔ NPI 1023572690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

3466 BRIDGELAND DR STE 105, Bridgeton, MO 63044

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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

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Specialist In Aging Successfully Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Specialist In Aging Successfully LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Asif Bhutto, M.D.

Internal Medicine

NPI 1205093473

3466 BRIDGELAND DR STE 105
Bridgeton, MO 63044

(314) 209-5100

✔ PECOS✔ Accepts MedicareSame address

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 Specialist In Aging Successfully LLC's NPI number?

The NPI number for Specialist In Aging Successfully LLC is 1023572690. It was assigned to this organization in the NPPES registry on January 28, 2019.

Where is Specialist In Aging Successfully LLC located?

Specialist In Aging Successfully LLC is located at 3466 Bridgeland Dr Ste 105, Bridgeton, MO 63044. The listed phone number is (314) 209-5100.

What is Specialist In Aging Successfully LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Specialist In Aging Successfully LLC enrolled in Medicare?

Yes. Specialist In Aging Successfully LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialist In Aging Successfully LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Specialist In Aging Successfully 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Specialist In Aging Successfully LLC accept?

Health plans from Medica list Specialist In Aging Successfully 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 Specialist In Aging Successfully LLC was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.