ST LOUIS BARIATRICS LLC
NPI 1093092611
Specialist in Saint Louis, MO

Active since November 10, 2011
10296 BIG BEND RD STE 206, SAINT LOUIS, MO 63122(314) 366-4874(314) 366-4875 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2025, Jan 19, 2019, Dec 7, 2018 (3 updates tracked since 2018).

About St Louis Bariatrics Llc NPPES

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

ST LOUIS BARIATRICS LLC (NPI 1093092611) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since November 2011. The organization lists Loretta Benedick, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1093092611
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameST LOUIS BARIATRICS LLC
Location Address10296 BIG BEND RD STE 206Saint Louis, MO 63122-6582
Mailing AddressPo Box 270419Saint Louis, MO 63127-0419 · (314) 366-4874 · Fax (314) 366-4875
Fax(314) 366-4875
Organization SubpartNo
Authorized OfficialLoretta BenedickPractice Manager · (314) 366-4874
Enumeration DateNovember 10, 2011
Last NPPES UpdateNovember 12, 20253 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1093092611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · 2011030112
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
10296 BIG BEND RD STE 206, Saint Louis, MO 63122

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)

St Louis Bariatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to St Louis Bariatrics LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1003956418
10296 BIG BEND RD STE 206
Saint Louis, MO 63122
(314) 366-4874
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053858589
10296 BIG BEND RD STE 206
Saint Louis, MO 63122
(314) 366-4874
✔ 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 St Louis Bariatrics LLC's NPI number?

The NPI number for St Louis Bariatrics LLC is 1093092611. It was assigned to this organization in the NPPES registry on November 10, 2011.

Where is St Louis Bariatrics LLC located?

St Louis Bariatrics LLC is located at 10296 Big Bend Rd Ste 206, Saint Louis, MO 63122. The listed phone number is (314) 366-4874.

What is St Louis Bariatrics LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is St Louis Bariatrics LLC enrolled in Medicare?

Yes. St Louis Bariatrics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Louis Bariatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to St Louis Bariatrics LLC, in General Surgery and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Louis Bariatrics LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list St Louis Bariatrics 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 St Louis Bariatrics LLC was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.