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MISSOURI ANESTHESIA SERVICES LLC
NPI 1114626058
Anesthesiology in Saint Louis, MO

Active since February 28, 2023
12747 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141(888) 589-8550(201) 604-6571 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Missouri Anesthesia Services Llc NPPES

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

MISSOURI ANESTHESIA SERVICES LLC (NPI 1114626058) is a healthcare organization registered as an anesthesiology in Saint Louis, Missouri and active in the NPI registry since February 2023. The organization lists Haroon Chaudhry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114626058
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameMISSOURI ANESTHESIA SERVICES LLC
Location Address12747 OLIVE BLVD STE 300Saint Louis, MO 63141-6269
Mailing Address111 Town Square Pl Ste 420Jersey City, NJ 07310-1724 · (888) 589-8550
Phone(888) 589-8550
Fax(201) 604-6571
Organization SubpartNo
Authorized OfficialHaroon ChaudhryCeo · (917) 621-6854
Enumeration DateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1114626058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
12747 OLIVE BLVD STE 300, Saint Louis, MO 63141
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Missouri Anesthesia Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Missouri Anesthesia Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathleen Black, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609296599
12634 OLIVE BLVD DEPT ANESTHESIOLOGY
Saint Louis, MO 63141
(800) 862-9980
✔ Accepts Medicare0.4 mi

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 Missouri Anesthesia Services LLC's NPI number?

The NPI number for Missouri Anesthesia Services LLC is 1114626058. It was assigned to this organization in the NPPES registry on February 28, 2023.

Where is Missouri Anesthesia Services LLC located?

Missouri Anesthesia Services LLC is located at 12747 Olive Blvd Ste 300, Saint Louis, MO 63141. The listed phone number is (888) 589-8550.

What is Missouri Anesthesia Services LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Missouri Anesthesia Services LLC enrolled in Medicare?

Yes. Missouri Anesthesia Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Missouri Anesthesia Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Missouri Anesthesia Services 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Missouri Anesthesia Services LLC was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.