ST LOUIS MEDICAL CLINIC, P.C.
NPI 1174505127
Clinic/Center - Infusion Therapy in Saint Louis, MO
About St Louis Medical Clinic, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST LOUIS MEDICAL CLINIC, P.C. (NPI 1174505127) is a healthcare organization registered as an infusion therapy in Saint Louis, Missouri and active in the NPI registry since November 2005. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Saint Louis, and lists Mindy D Powell, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 9
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted 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)
St Louis Medical Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to St Louis Medical Clinic, P.C., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (13)
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 2
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 26D2302743
St Louis Medical Clinic South · Saint Louis, MOCertificate of Waiver 26D0690592
St Louis Medical Clinic PC · Saint Louis, MOFrequently 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 St Louis Medical Clinic, P.C.'s NPI number?
The NPI number for St Louis Medical Clinic, P.C. is 1174505127. It was assigned to this organization in the NPPES registry on November 16, 2005. The provider is also known as St. Louis Medical Clinic.
Where is St Louis Medical Clinic, P.C. located?
St Louis Medical Clinic, P.C. is located at 3009 N Ballas Rd Suite 100B, Saint Louis, MO 63131. The listed phone number is (314) 432-1111.
What is St Louis Medical Clinic, P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.
Is St Louis Medical Clinic, P.C. enrolled in Medicare?
Yes. St Louis Medical Clinic, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Louis Medical Clinic, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 8 Medicare specialties reassign their Medicare billing to St Louis Medical Clinic, P.C.. 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), Family Practice (2) and Internal Medicine (2). Of these, 8 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Louis Medical Clinic, P.C. hold CLIA laboratory certificates?
Yes. 2 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 St Louis Medical Clinic, P.C. accept?
Health plans from Anthem Blue Cross and Blue Shield list St Louis Medical Clinic, P.C. 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 St Louis Medical Clinic, P.C. was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# St Louis Medical Clinic, P.c. · NPI 1174505127
Infusion Therapy organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since November 16, 2005.
## Identity
- **NPI:** 1174505127 (Entity type: Organization)
- **Enumerated:** November 16, 2005
- **Primary specialty:** Clinic/Center - Infusion Therapy · taxonomy 261QI0500X
- **Also known as:** St. Louis Medical Clinic (Other Name)
- **Organization subpart:** No
- **Authorized official:** Mindy Powell, ADMINISTRATOR
## Practice location
- **Address:** 3009 N BALLAS RD, SUITE 100B, Saint Louis, MO 63131-2322
- **Phone:** (314) 432-1111 · **Fax:** (314) 432-6308
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2), Internal Medicine (2); 8 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 30, 2026
- **Other identifiers:** Other 26D2302743 (MO)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174505127) · Data from the CMS NPPES public registry.