1. Home
  2. Directory
  3. Missouri
  4. Desoto
  5. Clinic Center
  6. NPI Profile

MIDWEST MEDICAL PRACTITIONERS LLC
NPI 1174260111
Clinic/Center - Rural Health in Desoto, MO

Active since May 19, 2022CLIA Certified · 3 labs
120 BOYD ST, DESOTO, MO 63020(636) 282-0380(877) 592-0806 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Midwest Medical Practitioners Llc NPPES

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

MIDWEST MEDICAL PRACTITIONERS LLC (NPI 1174260111) is a healthcare organization registered as a rural health in Desoto, Missouri and active in the NPI registry since May 2022. The organization holds 3 active CLIA laboratory certificates and lists Danish A Jabbar, Owner, as its authorized official.

NPPES Registry Identity

NPI1174260111
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMIDWEST MEDICAL PRACTITIONERS LLC
Location Address120 BOYD STDesoto, MO 63020
Mailing Address5000 Cedar Plaza Pkwy Ste 300Saint Louis, MO 63128-3891 · (636) 282-0380 · Fax (877) 592-0806
Phone(636) 282-0380
Fax(877) 592-0806
Organization SubpartNo
Authorized OfficialDanish A JabbarOwner · (636) 282-0380
Enumeration DateMay 19, 2022
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1174260111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
120 BOYD ST, Desoto, MO 63020
Open in Google Maps ↗

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 3

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 26D2260762

Midwest Medical Practitioners · Desoto, MO
Active · expires May 22, 2028
CLIA Number26D2260762
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorDanish Abdul Jabbar
Laboratory Phone(636) 282-0380
Laboratory LocationMidwest Medical Practitioners120 Boyd Street, Desoto, MO 63020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2313253

Midwest Medical Practitioners · Saint Louis, MO
Active · expires Oct 27, 2026
CLIA Number26D2313253
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorDanish A. Jabbar
Laboratory Phone(636) 282-0380
Laboratory LocationMidwest Medical Practitioners5000 Cedar Plaza Pkwy, Ste 300, Saint Louis, MO 63128
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2335074

Midwest Medical Practitioners · Park Hills, MO
Active · expires Dec 4, 2027
CLIA Number26D2335074
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateDecember 4, 2027
Laboratory DirectorDanish A. Jabbar
Laboratory Phone(636) 282-0380
Laboratory LocationMidwest Medical Practitioners703 E Main Street, Park Hills, MO 63601
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

HOLLY ACKERMANN FNP
Nurse Practitioner (Family)
120 BOYD ST
DE SOTO, MO 63020
Jefferson County (636) 282-0380
DR. JOHN LEO AGERS DDS
Dentist
120 BOYD ST
DESOTO, MO 63020
Jefferson County (636) 586-3440
ANGELA MARIE ADAMS M.S.N.; FNP-BC
Nurse Practitioner (Family)
120 BOYD ST
DE SOTO, MO 63020
Jefferson County (636) 282-0380

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 Midwest Medical Practitioners LLC's NPI number?

The NPI number for Midwest Medical Practitioners LLC is 1174260111. It was assigned to this organization in the NPPES registry on May 19, 2022.

Where is Midwest Medical Practitioners LLC located?

Midwest Medical Practitioners LLC is located at 120 Boyd St, Desoto, MO 63020. The listed phone number is (636) 282-0380.

What is Midwest Medical Practitioners LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Midwest Medical Practitioners LLC hold CLIA laboratory certificates?

Yes. 3 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.

What insurance does Midwest Medical Practitioners 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 2 other insurers list Midwest Medical Practitioners 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 Midwest Medical Practitioners LLC was last updated on February 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.