DES PERES SQUARE IMAGING CENTER LLC
NPI 1134120454
Clinic/Center - Magnetic Resonance Imaging (MRI) in Saint Louis, MO
NPI Status: Active since August 09, 2005
Contact Information
1050 OLD DES PERES RD
SUITE 75
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 569-2412
Fax: (314) 569-1655
NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Clinic/Center
- Magnetic Resonance Imaging (MRI)
- Accepts Insurance
About DES PERES SQUARE IMAGING CENTER LLC
This page provides the complete NPI Profile along with additional information for Des Peres Square Imaging Center Llc, a provider established in Saint Louis, Missouri operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1134120454 assigned on August 2005. The practitioner's primary taxonomy code is 261QM1200X. 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 Mr. Larry W Polley (Executive Director)
- NPI
- 1134120454
- Provider Name
- DES PERES SQUARE IMAGING CENTER LLC
- Entity Type
- Organization
- Location Address
- 1050 OLD DES PERES RD SUITE 75 SAINT LOUIS, MO 63131
- Location Phone
- (314) 569-2412
- Location Fax
- (314) 569-1655
- Mailing Address
- 1050 OLD DES PERES RD SUITE 100 SAINT LOUIS, MO 63131
- Mailing Phone
- (314) 569-2412
- Mailing Fax
- (314) 569-1655
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-09-2005
- Last Update Date
- 03-09-2011
- 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 Magnetic Resonance Imaging (MRI)
- Taxonomy Code
- 261QM1200X
- Type
- Ambulatory Health Care Facilities
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
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Essential (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 168483 | OTHER (01) | MO | ANTHEM |
| 2612904 | OTHER (01) | MO | AETNA |
| 1601575 | OTHER (01) | MO | UNITED HEALTHCARE |
| 473861 | OTHER (01) | MO | HEALTHLINK |
| 470001747 | OTHER (01) | MO | MEDICARE RAILROAD PIN |
| 000093051 | MEDICARE PIN (08) | MO |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Mri scan of arm joint without contrast
Mri scan of leg joint without contrast
Mri scan of lower spinal canal without contrast
An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.
This service was performed 60 times for 59 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 76 times for 74 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 35 times for 35 patientsReviews for DES PERES SQUARE IMAGING CENTER LLC
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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 1134120454, 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 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 46 is 50. 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 63131
ST LOUIS, MO 63131
SAINT LOUIS, MO 63131
ST LOUIS, MO 63131
ST LOUIS, MO 63131
ST LOUIS, MO 63131
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134120454, enumerated as an "organization" on August 09, 2005.
The provider is located at 1050 OLD DES PERES RD SUITE 75 SAINT LOUIS, MO 63131 and the phone number is (314) 569-2412.
Clinic/Center with taxonomy code 261QM1200X and a focus in Magnetic Resonance Imaging (MRI).
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield,. Please consult your insurance carrier or call the provider to verify.
