CHESTERFIELD VALLEY GASTROENTEROLOGY LLC
NPI 1104119916
Clinic/Center in Chesterfield, MO
NPI Status: Active since May 26, 2011
Contact Information
100 CHESTERFIELD BUSINESS PKWY STE 110
CHESTERFIELD, MO
ZIP 63005
Phone: (636) 532-0990
Fax: (636) 532-0993
- Organization
- Clinic/Center
- CLIA Number: 26D1075045
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-23-2026
About CHESTERFIELD VALLEY GASTROENTEROLOGY LLC
This page provides the complete NPI Profile along with additional information for Chesterfield Valley Gastroenterology Llc, a provider established in Chesterfield, Missouri operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104119916 assigned on May 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Helen Kim-james Md (Physician/owner)
- NPI
- 1104119916
- Provider Name
- CHESTERFIELD VALLEY GASTROENTEROLOGY LLC
- Entity Type
- Organization
- Location Address
- 100 CHESTERFIELD BUSINESS PKWY STE 110 CHESTERFIELD, MO 63005
- Location Phone
- (636) 532-0990
- Location Fax
- (636) 532-0993
- Mailing Address
- 100 CHESTERFIELD BUSINESS PKWY STE 110 CHESTERFIELD, MO 63005
- Mailing Phone
- (636) 532-0990
- Mailing Fax
- (636) 532-0993
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-26-2011
- Last Update Date
- 08-10-2011
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
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
- 26D1075045
- Facility Type
- Physician Office
- Certificate Effective Date
- August 24, 2024
- Certificate Expiration Date
- August 23, 2026
- Laboratory Director
- JEFFREY E. PETERSEN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Chesterfield Valley Gastroenterology Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1104119916, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
CHESTERFIELD, MO 63005
CHESTERFIELD, MO 63005
CHESTERFIELD, MO 63005
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104119916, enumerated as an "organization" on May 26, 2011.
The provider is located at 100 CHESTERFIELD BUSINESS PKWY STE 110 CHESTERFIELD, MO 63005 and the phone number is (636) 532-0990.
Clinic/Center with taxonomy code 261Q00000X.
