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GATEWAY DIRECT PRIMARY CARE JV LLC
NPI 1154970127
Family Medicine in Chesterfield, MO

Active since September 11, 2019CLIA Certified · 4 labs
1574 WOODLAKE DR, CHESTERFIELD, MO 63017(866) 808-6005 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2022, Oct 8, 2019, Sep 11, 2019 (3 updates tracked since 2019).

About Gateway Direct Primary Care Jv Llc NPPES

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

GATEWAY DIRECT PRIMARY CARE JV LLC (NPI 1154970127) is a healthcare organization registered as a family medicine in Chesterfield, Missouri and active in the NPI registry since September 2019. The organization holds 4 active CLIA laboratory certificates and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1154970127
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGATEWAY DIRECT PRIMARY CARE JV LLC
Location Address1574 WOODLAKE DRChesterfield, MO 63017-5712
Mailing Address1400 Wewatta St Ste 350Denver, CO 80202-5553
Phone(866) 808-6005
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateSeptember 11, 2019
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1154970127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1574 WOODLAKE DR, Chesterfield, MO 63017
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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

CLIA Laboratory Certificates CMS CLIA 4

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 26D2171968

Gateway Direct Primary Care Jv LLC · Town And Country, MO
Active · expires Sep 10, 2027
CLIA Number26D2171968
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorJessica Smith
Laboratory Phone(314) 989-2833
Laboratory LocationGateway Direct Primary Care Jv LLC1574 Woodlake Dr, Town And Country, MO 63017
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2222535

Gateway Direct Primarycare Jv LLC - South County · Saint Louis, MO
Active · expires Apr 28, 2027
CLIA Number26D2222535
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorJason Mehrtens
Laboratory Phone(866) 808-6005
Laboratory LocationGateway Direct Primarycare Jv LLC - South County4850 Lemay Ferry Road, Suie 115, Saint Louis, MO 63129
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2216450

Gateway Direct Primarycare Jv Llc-St Peters · Saint Peters, MO
Active · expires Mar 11, 2027
CLIA Number26D2216450
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorMark Pelikan
Laboratory Phone(866) 808-6005
Laboratory LocationGateway Direct Primarycare Jv Llc-St Peters5700 Mexico Rd Ste 16, Saint Peters, MO 63376
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2213798

Gateway Direct Primarycare Jv Llc-Florissant · Florissant, MO
Active · expires Feb 16, 2027
CLIA Number26D2213798
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorJessica Smith
Laboratory Phone(866) 808-6005
Laboratory LocationGateway Direct Primarycare Jv Llc-Florissant245 Dunn Road, Florissant, MO 63031
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN PATRICK STEIN M.D.
Family Medicine
1574 WOODLAKE DR
CHESTERFIELD, MO 63017
St. Louis County (314) 542-2077
WEST COUNTY FAMILY CARE PC
Family Medicine
1574 WOODLAKE DR
CHESTERFIELD, MO 63017
St. Louis County (314) 542-2077

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 Gateway Direct Primary Care Jv LLC's NPI number?

The NPI number for Gateway Direct Primary Care Jv LLC is 1154970127. It was assigned to this organization in the NPPES registry on September 11, 2019.

Where is Gateway Direct Primary Care Jv LLC located?

Gateway Direct Primary Care Jv LLC is located at 1574 Woodlake Dr, Chesterfield, MO 63017. The listed phone number is (866) 808-6005.

What is Gateway Direct Primary Care Jv LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Gateway Direct Primary Care Jv LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Gateway Direct Primary Care Jv LLC was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.