MERCY CLINIC KIDS GI, LLC
NPI 1033352885
Pediatrics - Pediatric Gastroenterology in Saint Louis, MO

Active since April 09, 2009
621 S NEW BALLAS RD, SUITE 140-A, SAINT LOUIS, MO 63141(314) 996-0006(314) 996-0007 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mercy Clinic Kids Gi, Llc NPPES

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

MERCY CLINIC KIDS GI, LLC (NPI 1033352885), doing business as St. John's Mercy Kids Gi, Llc, is a healthcare organization registered as a pediatric gastroenterology in Saint Louis, Missouri and active in the NPI registry since April 2009. The organization maintains 2 additional practice locations and lists Kerry Dunger, Executive Director - Finance, as its authorized official.

NPPES Registry Identity

NPI1033352885
Entity TypeOrganization
Primary Taxonomy2080P0206X
Legal Business NameMERCY CLINIC KIDS GI, LLC
Location Address621 S NEW BALLAS RD, SUITE 140-ASaint Louis, MO 63141-8232
Mailing Address621 S New Ballas Rd Ste Y-g230Saint Louis, MO 63141-8232 · (314) 251-5550 · Fax (314) 251-5552
Fax(314) 996-0007
Organization SubpartYesParent: Mercy Clinic East Communities
Authorized OfficialKerry DungerExecutive Director - Finance · (314) 364-3707
Enumeration DateApril 9, 2009
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1033352885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
621 S NEW BALLAS RD, Saint Louis, MO 63141

Other Names 1

Former Legal Business NameSt. John's Mercy Kids Gi, Llc

Secondary Practice Locations 2

Location 1211 Saint Francis DrCape Girardeau, MO 63703-5049 · Phone (314) 251-5550 · Fax (314) 251-5552
Location 24525 Mid Rivers Mall Dr Ste 10Cottleville, MO 63376-2820 · Phone (314) 251-5550 · Fax (314) 521-5552

Other Identifiers 1

Medicaid509292504MO

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 MULTIPLE 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)

Mercy Clinic Kids Gi, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Mercy Clinic Kids Gi, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Pediatric Medicine
NPI 1881032332
615 S NEW BALLAS RD FL Y-G230
Saint Louis, MO 63141
(314) 251-5550
✔ PECOSSame address
Nurse Practitioner
NPI 1336740828
615 S NEW BALLAS RD SUITE YG 230
St. Louis, MO 63141
(314) 251-5550
✔ PECOSSame address
Pediatric Medicine
NPI 1306050273
615 S NEW BALLAS RD CHILDREN'S HOSPITAL, GROUND FLOOR, SUITE Y-G224
Saint Louis, MO 63141
(314) 251-5550
✔ PECOSSame address
Nurse Practitioner
NPI 1881309714
615 S NEW BALLAS RD STE Y-G230
Saint Louis, MO 63141
(314) 251-5550
✔ PECOSSame address
Nurse Practitioner
NPI 1760783252
615 S NEW BALLAS RD SUITE YG-230
Saint Louis, MO 63141
(314) 251-5399
✔ PECOSSame address
Pediatric Medicine
NPI 1093155632
615 S NEW BALLAS RD STE Y-G230
Saint Louis, MO 63141
(314) 251-5550
✔ PECOSSame address
Pediatric Medicine
NPI 1285749333
11365 DORSETT RD.
Maryland Heights, MD 63043
(314) 872-6400
✔ PECOS3.3 mi
Registered Dietitian or Nutrition Professional
NPI 1730904251
615 S BALLAS RD
Saint Louis, MO 63122
(314) 251-5550
6.5 mi
Pediatric Medicine
NPI 1811549710
2331 MONROE ST
Dearborn, MI 48124
(313) 792-0345
✔ PECOS✔ Accepts Medicare454 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 Mercy Clinic Kids Gi, LLC's NPI number?

The NPI number for Mercy Clinic Kids Gi, LLC is 1033352885. It was assigned to this organization in the NPPES registry on April 9, 2009. The provider was formerly known as St. John's Mercy Kids GI, LLC.

Where is Mercy Clinic Kids Gi, LLC located?

Mercy Clinic Kids Gi, LLC is located at 621 S New Ballas Rd Suite 140-A, Saint Louis, MO 63141. The listed phone number is (314) 996-0006.

What is Mercy Clinic Kids Gi, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Mercy Clinic Kids Gi, LLC enrolled in Medicare?

Yes. Mercy Clinic Kids Gi, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Clinic Kids Gi, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Mercy Clinic Kids Gi, 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 Pediatric Medicine (5), Nurse Practitioner (3) and Registered Dietitian or Nutrition Professional (1). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercy Clinic Kids Gi, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mercy Clinic Kids Gi, 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 Mercy Clinic Kids Gi, LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.