SLUCARE DEPARTMENT OF PEDIATRIC SURGERY
NPI 1114990454
Surgery - Pediatric Surgery in Saint Louis, MO
NPI Status: Active since February 08, 2006
Contact Information
1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 977-6828
- Organization
- Surgery
- Pediatric Surgery
- Accepts Insurance
- CLIA Number: 26D0872684
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 04-12-2026
About SLUCARE DEPARTMENT OF PEDIATRIC SURGERY
This page provides the complete NPI Profile along with additional information for Slucare Department Of Pediatric Surgery, a provider established in Saint Louis, Missouri operating as a Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1114990454 assigned on February 2006. The practitioner's primary taxonomy code is 2086S0120X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Slucare Department Of Pediatric Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Slucare Department Of Pediatric Surgery. The authorized official of this NPI record is Mrs. Alyce Lanxon (Executive Director)
- NPI
- 1114990454
- Provider Legal Name
- ST LOUIS UNIVERSITY
- Other Organization Name
- SLUCARE DEPARTMENT OF PEDIATRIC SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1465 S GRAND BLVD SAINT LOUIS, MO 63104
- Location Phone
- (314) 977-6828
- Mailing Address
- 1831 CHESTNUT ST STE 650 SAINT LOUIS, MO 63103
- Mailing Phone
- (314) 977-6828
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2006
- Last Update Date
- 06-21-2019
- 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
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Catastrophic Pathway (+ Incentives) - EPO
- Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 26D0872684
- Facility Type
- Independent
- Certificate Effective Date
- April 13, 2024
- Certificate Expiration Date
- April 12, 2026
- Laboratory Director
- RAMONA BEHSHAD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Slucare Department Of Pediatric Surgery 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.
Reviews for SLUCARE DEPARTMENT OF PEDIATRIC SURGERY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1114990454, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114990454, enumerated as an "organization" on February 08, 2006.
The provider is located at 1465 S GRAND BLVD SAINT LOUIS, MO 63104 and the phone number is (314) 977-6828.
Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.
