PREMIER PEDIATRICS LLC
NPI 1083195762
Clinic/Center - Multi-Specialty in Saint Louis, MO
About Premier Pediatrics Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER PEDIATRICS LLC (NPI 1083195762) is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since August 2018. The organization lists Cathy Eghigian, Senior Director Wu Managed Care, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Pediatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Premier Pediatrics LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D2156056
Premier Pediatrics · Saint Louis, MOFrequently 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 Premier Pediatrics LLC's NPI number?
The NPI number for Premier Pediatrics LLC is 1083195762. It was assigned to this organization in the NPPES registry on August 22, 2018. The provider is also known as Premier Pediatrics.
Where is Premier Pediatrics LLC located?
Premier Pediatrics LLC is located at 5114 Mid America Plz Ste 2C, Saint Louis, MO 63129. The listed phone number is (314) 859-4000.
What is Premier Pediatrics LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Premier Pediatrics LLC enrolled in Medicare?
Yes. Premier Pediatrics LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier Pediatrics LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Premier Pediatrics 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) and Nurse Practitioner (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Premier Pediatrics LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Premier Pediatrics Llc · NPI 1083195762
Multi-Specialty organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since August 22, 2018.
## Identity
- **NPI:** 1083195762 (Entity type: Organization)
- **Enumerated:** August 22, 2018
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Premier Pediatrics (Other Name)
- **Organization subpart:** No
- **Authorized official:** Cathy Eghigian, SENIOR DIRECTOR WU MANAGED CARE
## Practice location
- **Address:** 5114 MID AMERICA PLZ STE 2C, Saint Louis, MO 63129-0003
- **Phone:** (314) 859-4000 · **Fax:** (314) 273-4110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (5), Nurse Practitioner (1); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 29, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083195762) · Data from the CMS NPPES public registry.