1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Anesthesiologist Assistant
  6. NPI Profile

MR. NIKOLAI MCKOY CAA
NPI 1104448059
Anesthesiologist Assistant in Saint Louis, MO

Active since May 14, 2020
80.25/100
CMS Quality Rating
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(636) 386-9224(636) 386-7679 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2020, May 14, 2020 (2 updates tracked since 2020).

About Mr. Nikolai Mckoy Caa NPPES

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

MR. NIKOLAI MCKOY CAA (NPI 1104448059) is an individual anesthesiologist assistant in Saint Louis, Missouri and active in the NPI registry since May 2020. He is affiliated with Adventhealth Orlando and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104448059
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. NIKOLAI MCKOYCredential: CAA
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing Address339 Consort DrBallwin, MO 63011-4439 · (636) 386-9224 · Fax (636) 386-7679
Phone(636) 386-9224
Fax(636) 386-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 14, 2020
Last NPPES UpdateAugust 19, 20202 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1104448059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
615 S NEW BALLAS RD, Saint Louis, MO 63141
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nikolai Mckoy Caa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567881204
PECOS Enrollment IDI20210126000739, I20250723004119

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
37 services36 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
19 services19 patients
Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope 00732
This procedure involves using an endoscope, a flexible tube with a light and camera, to examine or treat your gallbladder, pancreas, or liver. Anesthesia is administered to ensure you're comfortable and pain-free during the procedure.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.44
Improvement Activities40
Cost64.53

Other Providers at the Same Location NPPES 20

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

MRS. PATRICIA ANN RICE APN
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
MARY BETH WALKER FNP
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
LOVEPREET SINGH RANDHAWA MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
DR. CONNOR ROBERT REIS DO
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6930
MR. SHEBY THOMAS AA-S
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
JOSE L OLIVER SEGARRA
Dentist (General Practice)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6382
CAREN BIRKENKAMP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
ANAS M HASIC MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 509-5305

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 Nikolai Mckoy's NPI number?

The NPI number for Nikolai Mckoy is 1104448059. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Nikolai Mckoy located?

Nikolai Mckoy practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (636) 386-9224.

What is Nikolai Mckoy's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Nikolai Mckoy enrolled in Medicare?

Yes. Nikolai Mckoy is registered in the Medicare PECOS enrollment system.

Is Nikolai Mckoy affiliated with any hospitals?

According to CMS data, Nikolai Mckoy is affiliated with Adventhealth Orlando and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Nikolai Mckoy was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.