CROSSROADS CLINIC VOLUNTEERS IN MEDICINE
NPI 1053117598
General Practice in Lake St. Louis, MO
NPI Status: Active since February 24, 2025
Contact Information
10890 VETERANS MEMORIAL PARKWAY
LAKE ST. LOUIS, MO
ZIP 63367
Phone: (636) 561-3133
Fax: (636) 625-3534
- Organization
- General Practice
- CLIA Number: 26D2310068
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-25-2026
About CROSSROADS CLINIC VOLUNTEERS IN MEDICINE
This page provides the complete NPI Profile along with additional information for Crossroads Clinic Volunteers In Medicine, a primary care provider established in Lake St. Louis, Missouri operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1053117598 assigned on February 2025. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Maimuna Baig M.d. (Medical Director)
- NPI
- 1053117598
- Provider Name
- CROSSROADS CLINIC VOLUNTEERS IN MEDICINE
- Entity Type
- Organization
- Location Address
- 10890 VETERANS MEMORIAL PARKWAY LAKE ST. LOUIS, MO 63367
- Location Phone
- (636) 561-3133
- Location Fax
- (636) 625-3534
- Mailing Address
- 10890 VETERANS MEMORIAL PARKWAY LAKE ST. LOUIS, MO 63367
- Mailing Phone
- (636) 561-3133
- Mailing Fax
- (636) 625-3534
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-24-2025
- Last Update Date
- 02-24-2025
- Code Navigator
A primary care provider (PCP) like Crossroads Clinic Volunteers In Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D2310068
- Facility Type
- Physician Office
- Certificate Effective Date
- August 26, 2024
- Certificate Expiration Date
- August 25, 2026
- Laboratory Director
- MALMUNA BAIG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crossroads Clinic Volunteers In Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053117598, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053117598, enumerated as an "organization" on February 24, 2025.
The provider is located at 10890 VETERANS MEMORIAL PARKWAY LAKE ST. LOUIS, MO 63367 and the phone number is (636) 561-3133.
General Practice with taxonomy code 208D00000X.
