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PURELY PEDIATRICS LLC
NPI 1174069900
Pediatrics in Town & Country, MO

Active since January 18, 2017CLIA 26D2126911 · Waiver
13001 N OUTER FORTY RD, SUITE 330, TOWN & COUNTRY, MO 63017(314) 454-5500(314) 454-5501 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Purely Pediatrics Llc NPPES

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

PURELY PEDIATRICS LLC (NPI 1174069900) is a healthcare organization registered as a pediatrics in Town & Country, Missouri and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Cathy Eghigian, Senior Director Wu Managed Care, as its authorized official.

NPPES Registry Identity

NPI1174069900
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePURELY PEDIATRICS LLC
Location Address13001 N OUTER FORTY RD, SUITE 330Town & Country, MO 63017
Mailing AddressPo Box 7412017Chicago, IL 60674-2011 · (314) 454-5500 · Fax (314) 454-5501
Phone(314) 454-5500
Fax(314) 454-5501
Organization SubpartNo
Authorized OfficialCathy EghigianSenior Director Wu Managed Care · (314) 273-0770
Enumeration DateJanuary 18, 2017
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1174069900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Purely Pediatrics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Purely Pediatrics LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Kristen Bruno, MD
Pediatric Medicine
NPI 1871795955
706 N MAIN ST
O Fallon, MO 63366
(314) 258-5941
✔ PECOS
Anna Huger, MD
Pediatric Medicine
NPI 1104891274
13001 N OUTER 40 RD STE 330
Chesterfield, MO 63017
(314) 454-5500
✔ PECOS

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 26D2126911

Purely Pediatrics, LLC · Town And Country, MO
Active · expires Mar 6, 2027
CLIA Number26D2126911
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorAnna P. Huger
Laboratory Phone(314) 454-5500
Laboratory LocationPurely Pediatrics, LLC13001 North Outer Forty Road Ste 330, Town And Country, MO 63017
CLIA data matches this NPI record on: Name 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 Purely Pediatrics LLC's NPI number?

The NPI number for Purely Pediatrics LLC is 1174069900. It was assigned to this organization in the NPPES registry on January 18, 2017.

Where is Purely Pediatrics LLC located?

Purely Pediatrics LLC is located at 13001 N Outer Forty Rd Suite 330, Town & Country, MO 63017. The listed phone number is (314) 454-5500.

What is Purely Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Purely Pediatrics LLC enrolled in Medicare?

Yes. Purely Pediatrics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Purely Pediatrics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Purely Pediatrics 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Purely Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2126911) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Purely Pediatrics LLC was last updated on April 29, 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.