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

NPI Status: Active since April 25, 2011

Contact Information

621 S NEW BALLAS RD
SUITE 537-A
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-6990
Fax: (314) 251-6998

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  • Organization
  • Urology
  • Pediatric Urology
  • Accepts Insurance
  • CLIA Number: 26D2023740
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-28-2027

About MERCY CLINIC CHILDREN'S UROLOGY LLC

This page provides the complete NPI Profile along with additional information for Mercy Clinic Children's Urology Llc, a provider established in Saint Louis, Missouri operating as a Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1154612166 assigned on April 2011. The practitioner's primary taxonomy code is 2088P0231X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kerry Dunger (Executive Director - Finance)

NPI
1154612166
Provider Name
MERCY CLINIC CHILDREN'S UROLOGY LLC
Entity Type
Organization
Location Address
621 S NEW BALLAS RD SUITE 537-A SAINT LOUIS, MO 63141
Location Phone
(314) 251-6990
Location Fax
(314) 251-6998
Mailing Address
621 S NEW BALLAS RD SUITE 537-A SAINT LOUIS, MO 63141
Mailing Phone
(314) 251-6990
Mailing Fax
(314) 251-6998
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-25-2011
Last Update Date
04-28-2025
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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

Urology Pediatric Urology

Taxonomy Code
2088P0231X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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).

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • 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
  • Balance by Medica Bronze $0 Copay PCP Visits - EPO
  • Balance by Medica Bronze $0 Copay PCP Visits - PPO
  • Balance by Medica Bronze Premier - EPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Expanded Bronze Standard - EPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - EPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Share - EPO
  • Balance by Medica Gold Share - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KERRY DUNGER

Authorized Official Title
EXECUTIVE DIRECTOR - FINANCE
Authorized Official Phone
(314) 364-3707

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
26D2023740
Facility Type
Physician Office
Certificate Effective Date
April 29, 2025
Certificate Expiration Date
April 28, 2027
Laboratory Director
ANAND PALAGIRI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mercy Clinic Children's Urology Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MERCY CLINIC CHILDREN'S UROLOGY LLC

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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 1154612166, we treat the final digit (6) 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 44. The final step is to find the difference between that total and the next multiple of ten (50 - 44 = 6).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 6 → 12 → 3 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 2 + 1 + 4 + 1 + 1 + 2 + 24 = 44

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 44 is 50. The difference is the calculated check digit.

50 - 44 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1154612166.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141
Otolaryngology (Otology & Neurotology)
621 S NEW BALLAS RD, STE 597A
SAINT LOUIS, MO 63141
Internal Medicine (Gastroenterology)
621 S NEW BALLAS RD, SUITE 584A
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD, STE 399
SAINT LOUIS, MO 63141
Obstetrics & Gynecology
621 S NEW BALLAS RD, STE 399
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 7011B
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 7011B
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 7011B
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 7011B
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 7011B
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 7011B
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 7011B
SAINT LOUIS, MO 63141
Specialist
621 S NEW BALLAS RD, SUITE 7011B
SAINT LOUIS, MO 63141
Ophthalmology
621 S NEW BALLAS RD, STE 5006B
SAINT LOUIS, MO 63141
Optometrist
621 S NEW BALLAS RD, OPHTHALMOLOGY CONSULTANTS LTD STE 5006B
SAINT LOUIS, MO 63141
Ophthalmology
621 S NEW BALLAS RD, #5006B
SAINT LOUIS, MO 63141
Obstetrics & Gynecology (Gynecology)
621 S NEW BALLAS RD, SUITE 499 TOWER A
SAINT LOUIS, MO 63141
Registered Nurse
621 S NEW BALLAS RD, STE 368A
SAINT LOUIS, MO 63141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154612166, enumerated as an "organization" on April 25, 2011.

The provider is located at 621 S NEW BALLAS RD SUITE 537-A SAINT LOUIS, MO 63141 and the phone number is (314) 251-6990.

Urology with taxonomy code 2088P0231X and a focus in Pediatric Urology.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.