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

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: November 08, 2026.

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 Anthem Blue Cross and Blue Shield, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Clinic Children's Urology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mercy Clinic Children's Urology LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Anand Palagiri, M.D.
Urology
NPI 1578769006
621 S NEW BALLAS RD STE 537
Saint Louis, MO 63141
(314) 251-6990
✔ PECOS1.5 mi
Tori Keeven, CPNP-PC
Nurse Practitioner
NPI 1659196012
621 S NEW BALLAS RD STE 537A
Saint Louis, MO 63141
(314) 251-6990
✔ PECOS1.5 mi
Tara Albert, CPNP
Nurse Practitioner
NPI 1124294764
621 S NEW BALLAS RD SUITE 537A
Saint Louis, MO 63141
(314) 251-6990
✔ PECOS1.6 mi
Scotti Manes, DNP-PC, CPNP
Nurse Practitioner
NPI 1518681824
621 S BALLAS RD
Saint Louis, MO 63122
(314) 251-6990
✔ PECOS6.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Mercy Clinic Children's Urology LLC enrolled in Medicare?

Yes. Mercy Clinic Children's Urology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Clinic Children's Urology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Mercy Clinic Children's Urology 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. The largest specialties are Nurse Practitioner (3) and Urology (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Anthem Blue Cross and Blue Shield and Medica 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 18 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.