MERCY CLINIC CHILDREN'S UROLOGY LLC
NPI 1154612166
Urology - Pediatric Urology in Saint Louis, MO

Q: What is Mercy Clinic Children's Urology LLC's NPI number?

The NPI number for Mercy Clinic Children's Urology LLC is 1154612166. It was assigned to this organization in the NPPES registry on April 25, 2011.

Q: What is Mercy Clinic Children's Urology LLC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Active since April 25, 2011CLIA 26D2023740 · Waiver

621 S NEW BALLAS RD, SUITE 537-A, SAINT LOUIS, MO 63141(314) 251-6990(314) 251-6998 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mercy Clinic Children's Urology Llc NPPES

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

MERCY CLINIC CHILDREN'S UROLOGY LLC (NPI 1154612166) is a healthcare organization registered as a pediatric urology in Saint Louis, Missouri and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Kerry Dunger, Executive Director - Finance, as its authorized official.

NPPES Registry Identity

NPI1154612166

Entity TypeOrganization

Primary Taxonomy2088P0231X

Legal Business NameMERCY CLINIC CHILDREN'S UROLOGY LLC

Location Address621 S NEW BALLAS RD, SUITE 537-ASaint Louis, MO 63141-8232

Mailing Address621 S New Ballas Rd, Suite 537-aSaint Louis, MO 63141-8232 · (314) 251-6990 · Fax (314) 251-6998

Phone(314) 251-6990

Fax(314) 251-6998

Organization SubpartYesParent: Mercy Medical Group

Authorized OfficialKerry DungerExecutive Director - Finance · (314) 364-3707

Enumeration DateApril 25, 2011

Last NPPES UpdateApril 28, 2025

NPPES CertifiedApril 28, 2025

✔ NPI 1154612166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

621 S NEW BALLAS RD, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2023740

Mercy Clinic Childrens Urology · Saint Louis, MO

Active · expires Apr 28, 2027

CLIA Number26D2023740

Laboratory TypePhysician Office

Certificate Effective DateApril 29, 2025

Certificate Expiration DateApril 28, 2027

Laboratory DirectorAnand Palagiri

Laboratory Phone(314) 251-6990

Laboratory LocationMercy Clinic Childrens Urology621 S New Ballas Rd, Ste 2003B, Saint Louis, MO 63141

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

STEPHANIE LYNN SHOREY WHNP-BC

Nurse Practitioner (Women's Health)

621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141

St. Louis County (314) 991-5000

DR. KATHRYN BOTNEY M.D.

Obstetrics & Gynecology

621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141

St. Louis County (314) 567-5016

HUILIN LI M.D.

Internal Medicine

621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141

St. Louis County (314) 251-6339

LUIS A GIUFFRA LLC

Psychiatry & Neurology (Psychiatry)

621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141

St. Louis County (314) 251-7720

JOSEPH G HERRMANN MD LLC

Specialist

621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141

St. Louis County (314) 432-0056

KAREN KILO RN, CDE, RD

Nutritionist (Nutrition, Education)

621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141

St. Louis County (314) 251-4330

KATINA M CANDEE PA-C

Physician Assistant

621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141

St. Louis County (314) 251-2095

DR. PETER KONG-WOO YOON M.D.

Specialist

621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141

St. Louis County (314) 251-6364

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 Mercy Clinic Children's Urology LLC's NPI number?

The NPI number for Mercy Clinic Children's Urology LLC is 1154612166. It was assigned to this organization in the NPPES registry on April 25, 2011.

Where is Mercy Clinic Children's Urology LLC located?

Mercy Clinic Children's Urology LLC is located at 621 S New Ballas Rd Suite 537-A, Saint Louis, MO 63141. The listed phone number is (314) 251-6990.

What is Mercy Clinic Children's Urology LLC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Does Mercy Clinic Children's Urology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2023740) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Clinic Children's Urology LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Mercy Clinic Children's Urology LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mercy Clinic Children's Urology LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.