WEST COUNTY INFECTIOUS DISEASE, LLC
NPI 1194125195
Internal Medicine - Infectious Disease in Saint Louis, MO

Active since August 26, 2014
10004 KENNERLY RD STE 392, SAINT LOUIS, MO 63128(636) 489-1602(636) 600-5294 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About West County Infectious Disease, Llc NPPES

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

WEST COUNTY INFECTIOUS DISEASE, LLC (NPI 1194125195) is a healthcare organization registered as an infectious disease in Saint Louis, Missouri and active in the NPI registry since August 2014. The organization lists Polly K David, Owner, as its authorized official.

NPPES Registry Identity

NPI1194125195
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameWEST COUNTY INFECTIOUS DISEASE, LLC
Location Address10004 KENNERLY RD STE 392Saint Louis, MO 63128-2141
Mailing Address16918 Westridge Oaks DrGrover, MO 63040-1127 · (636) 566-8155 · Fax (636) 566-8732
Fax(636) 600-5294
Organization SubpartNo
Authorized OfficialPolly K DavidOwner · (314) 477-9827
Enumeration DateAugust 26, 2014
Last NPPES UpdateJanuary 6, 2023
NPPES CertifiedJanuary 6, 2023
✔ NPI 1194125195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
10004 KENNERLY RD STE 392, Saint Louis, MO 63128

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)

West County Infectious Disease, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to West County Infectious Disease, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Infectious Disease
NPI 1629159413
8790 WATSON RD SUITE 201
Saint Louis, MO 63119
(314) 543-2800
✔ PECOS✔ Accepts Medicare3.9 mi
Internal Medicine
NPI 1386881902
8790 WATSON RD SUITE 201
St Louis, MO 63119
(314) 543-2800
✔ PECOS✔ Accepts Medicare3.9 mi
Infectious Disease
NPI 1477904662
2345 DOUGHERTY FERRY RD
Saint Louis, MO 63122
(314) 566-7142
✔ PECOS✔ Accepts Medicare6.6 mi
Infectious Disease
NPI 1649501834
3535 S JEFFERSON AVE SUITE 111
Saint Louis, MO 63118
(314) 543-2895
✔ PECOS✔ Accepts Medicare10 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 West County Infectious Disease, LLC's NPI number?

The NPI number for West County Infectious Disease, LLC is 1194125195. It was assigned to this organization in the NPPES registry on August 26, 2014.

Where is West County Infectious Disease, LLC located?

West County Infectious Disease, LLC is located at 10004 Kennerly Rd Ste 392, Saint Louis, MO 63128. The listed phone number is (636) 489-1602.

What is West County Infectious Disease, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is West County Infectious Disease, LLC enrolled in Medicare?

Yes. West County Infectious Disease, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West County Infectious Disease, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to West County Infectious Disease, 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. The largest specialties are Infectious Disease (3) and Internal Medicine (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does West County Infectious Disease, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list West County Infectious Disease, 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 West County Infectious Disease, LLC was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.