CHESTERFIELD VALLEY GASTROENTEROLOGY LLC
NPI 1104119916
Clinic/Center in Chesterfield, MO

Active since May 26, 2011CLIA 26D1075045 · Certificate of Compliance
100 CHESTERFIELD BUSINESS PKWY STE 110, CHESTERFIELD, MO 63005(636) 532-0990(636) 532-0993 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chesterfield Valley Gastroenterology Llc NPPES

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

CHESTERFIELD VALLEY GASTROENTEROLOGY LLC (NPI 1104119916) is a healthcare organization registered as a clinic/center in Chesterfield, Missouri and active in the NPI registry since May 2011. The organization holds a CLIA Certificate of Compliance certificate valid through August 23, 2026 and lists Helen Kim-james, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1104119916
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHESTERFIELD VALLEY GASTROENTEROLOGY LLC
Location Address100 CHESTERFIELD BUSINESS PKWY STE 110Chesterfield, MO 63005-1271
Mailing Address100 Chesterfield Business Pkwy Ste 110Chesterfield, MO 63005-1271 · (636) 532-0990 · Fax (636) 532-0993
Fax(636) 532-0993
Organization SubpartNo
Authorized OfficialHelen Kim-jamesPhysician/owner · (636) 532-0990
Enumeration DateMay 26, 2011
Last NPPES UpdateAugust 10, 2011
NPI 1104119916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
100 CHESTERFIELD BUSINESS PKWY STE 110, Chesterfield, MO 63005

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 Compliance 26D1075045

Chesterfield Valley Dermatology, PC · Chesterfield, MO
Active · expires Aug 23, 2026
CLIA Number26D1075045
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorJeffrey E. Petersen
Laboratory Phone(636) 532-0990
Laboratory LocationChesterfield Valley Dermatology, PC100 Chesterfield Business Pkwy, Suite 110, Chesterfield, MO 63005
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
100 CHESTERFIELD BUSINESS PKWY STE 110
CHESTERFIELD, MO 63005
Nurse Practitioner (Adult Health)
100 CHESTERFIELD BUSINESS PKWY STE 110
CHESTERFIELD, MO 63005
Nurse Practitioner (Family)
100 CHESTERFIELD BUSINESS PKWY STE 110
CHESTERFIELD, MO 63005

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 Chesterfield Valley Gastroenterology LLC's NPI number?

The NPI number for Chesterfield Valley Gastroenterology LLC is 1104119916. It was assigned to this organization in the NPPES registry on May 26, 2011.

Where is Chesterfield Valley Gastroenterology LLC located?

Chesterfield Valley Gastroenterology LLC is located at 100 Chesterfield Business Pkwy Ste 110, Chesterfield, MO 63005. The listed phone number is (636) 532-0990.

What is Chesterfield Valley Gastroenterology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Chesterfield Valley Gastroenterology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D1075045) is associated with this NPI, valid through August 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chesterfield Valley Gastroenterology LLC was last updated on August 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.