ST. LOUIS NEPHROLOGY AND HYPERTENSION
NPI 1174601124
Internal Medicine - Nephrology in Maryville, IL

Active since November 01, 2006
2102 VADALABENE DR, MARYVILLE, IL 62062(618) 288-1196 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About St. Louis Nephrology And Hypertension NPPES

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

ST. LOUIS NEPHROLOGY AND HYPERTENSION (NPI 1174601124) is a healthcare organization registered as a nephrology in Maryville, Illinois and active in the NPI registry since November 2006. The organization maintains 2 additional practice locations and lists Henry E Purcell, President, as its authorized official.

NPPES Registry Identity

NPI1174601124
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameST. LOUIS NEPHROLOGY AND HYPERTENSION
Location Address2102 VADALABENE DRMaryville, IL 62062-5632
Mailing AddressPo Box 797021Saint Louis, MO 63179-7000 · (314) 644-3535
Organization SubpartNo
Authorized OfficialHenry E PurcellPresident · (314) 276-7664
Enumeration DateNovember 1, 2006
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1174601124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MO · R9H62
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
2102 VADALABENE DR, Maryville, IL 62062

Secondary Practice Locations 2

Location 1101 Lanter CtCollinsville, IL 62234-6124 · Phone (618) 344-2080
Location 29 American VlgGranite City, IL 62040-3706 · Phone (618) 452-5858

Other Identifiers 1

OtherDG8471MO · Railroad Medicare

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

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 Nephrology And Hypertension 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 St. Louis Nephrology And Hypertension, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nephrology
NPI 1548355621
6812 STATE ROUTE 162 STE 121
Maryville, IL 62062
(618) 391-5690
✔ PECOS✔ Accepts Medicare0.7 mi
Nephrology
NPI 1467530410
6812 STATE ROUTE 162 STE 121
Maryville, IL 62062
(618) 391-6910
✔ PECOS✔ Accepts Medicare0.7 mi

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

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 St. Louis Nephrology And Hypertension's NPI number?

The NPI number for St. Louis Nephrology And Hypertension is 1174601124. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is St. Louis Nephrology And Hypertension located?

St. Louis Nephrology And Hypertension is located at 2102 Vadalabene Dr, Maryville, IL 62062. The listed phone number is (618) 288-1196.

What is St. Louis Nephrology And Hypertension's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is St. Louis Nephrology And Hypertension enrolled in Medicare?

Yes. St. Louis Nephrology And Hypertension is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Louis Nephrology And Hypertension?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nephrology, reassign their Medicare billing to St. Louis Nephrology And Hypertension. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St. Louis Nephrology And Hypertension accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list St. Louis Nephrology And Hypertension 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 Nephrology And Hypertension was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.