DR. THOMAS JOHN GNIADEK MD PHD
NPI 1205101334
Pathology - Anatomic Pathology & Clinical Pathology in Saint Louis, MO

Active since March 22, 2012PECOS EnrolledAccepts Medicare Assignment
1402 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-2000 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2026, Jun 3, 2025, Oct 25, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Thomas John Gniadek Md Phd NPPES

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

DR. THOMAS JOHN GNIADEK MD PHD (NPI 1205101334) is an individual anatomic pathology & clinical pathology provider in Saint Louis, Missouri, licensed in Missouri (2024018547) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205101334
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. THOMAS JOHN GNIADEKCredential: MD PHD
Location Address1402 S GRAND BLVDSaint Louis, MO 63104-1004
Mailing Address844 Knollwood RdDeerfield, IL 60015-3313 · (203) 806-0125
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 22, 2012
Last NPPES UpdateJanuary 7, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1205101334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in MO · 2024018547✔ Licensed in IL · 036145372
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License 036145372 (IL), 2024018547 (MO)
1402 S GRAND BLVD, Saint Louis, MO 63104

Secondary Practice Locations 3

Location 1300 S 6th St # Mc604Minneapolis, MN 55487-0999 · Phone (612) 596-1036
Location 2844 Knollwood RdDeerfield, IL 60015-3313 · Phone (203) 806-0125
Location 32525 Chicago AveMinneapolis, MN 55404-4518 · Phone (612) 813-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas John Gniadek Md Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022269729
PECOS Enrollment IDI20170522001227
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Gniadek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
Home Health
825 S 8TH ST, SL10
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240004
Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Thomas Gniadek's NPI number?

The NPI number for Thomas Gniadek is 1205101334. It was assigned to this individual provider in the NPPES registry on March 22, 2012.

Where is Thomas Gniadek located?

Thomas Gniadek practices at 1402 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 617-2000.

What is Thomas Gniadek's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Thomas Gniadek enrolled in Medicare?

Yes. Thomas Gniadek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thomas Gniadek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Gniadek reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Hennepin Healthcare System, Inc (Minneapolis, MN). Each 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 Thomas Gniadek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Thomas Gniadek affiliated with any hospitals?

According to CMS data, Thomas Gniadek is affiliated with Hennepin County Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Gniadek was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.