GEROMED, LLC
NPI 1184755118
Internal Medicine - Geriatric Medicine in Saint Louis, MO

Q: What is Geromed, LLC's NPI number?

The NPI number for Geromed, LLC is 1184755118. It was assigned to this organization in the NPPES registry on March 9, 2007.

Q: What is Geromed, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Geromed, LLC was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 09, 2007

4675 S GRAND BLVD, SAINT LOUIS, MO 63111(314) 752-8600(314) 752-8601 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Geromed, Llc NPPES

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

GEROMED, LLC (NPI 1184755118) is a healthcare organization registered as a geriatric medicine in Saint Louis, Missouri and active in the NPI registry since March 2007. The organization lists Tony Thien Tang, Owner, as its authorized official.

NPPES Registry Identity

NPI1184755118

Entity TypeOrganization

Primary Taxonomy207RG0300X

Legal Business NameGEROMED, LLC

Location Address4675 S GRAND BLVDSaint Louis, MO 63111-1462

Mailing Address4675 S Grand BlvdSaint Louis, MO 63111-1462 · (314) 752-8600 · Fax (314) 752-8601

Phone(314) 752-8600

Fax(314) 752-8601

Organization SubpartNo

Authorized OfficialTony Thien TangOwner · (314) 752-8600

Enumeration DateMarch 9, 2007

Last NPPES UpdateMay 27, 2008

✔ NPI 1184755118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

4675 S GRAND BLVD, Saint Louis, MO 63111

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Other Identifiers 8

Medicaid208442400MO

Other1023026804Provider Npi

Medicaid508753001MO

Other1417040114Provider Npi

Medicare UPINI11532

Medicare UPINH95162

Medicaid208393702MO

Medicare ID-Type Unspecified000014235MO

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 26D1029508

Geromed LLC · Saint Louis, MO

Expired · Aug 17, 2026

CLIA Number26D1029508

Laboratory TypePhysician Office

Certificate Effective DateAugust 18, 2024

Certificate Expiration DateAugust 17, 2026

Laboratory DirectorTony T. Tang

Laboratory Phone(314) 752-8600

Laboratory LocationGeromed LLC4675 South Grand Blvd, Saint Louis, MO 63111

CLIA data matches this NPI record on: Address 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 Geromed, LLC's NPI number?

The NPI number for Geromed, LLC is 1184755118. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Geromed, LLC located?

Geromed, LLC is located at 4675 S Grand Blvd, Saint Louis, MO 63111. The listed phone number is (314) 752-8600.

What is Geromed, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

What insurance does Geromed, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Geromed, 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 Geromed, LLC was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.