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AMELIA AESTHETICS
NPI 1215563374
Clinic/Center in Saint Charles, MO

Active since March 20, 2020CLIA 26D2237746 · Waiver
1551 WALL ST STE 420, SAINT CHARLES, MO 63303(636) 329-4036 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Jun 14, 2020, Mar 20, 2020 (3 updates tracked since 2020).

About Amelia Aesthetics NPPES

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

AMELIA AESTHETICS (NPI 1215563374) is a healthcare organization registered as a clinic/center in Saint Charles, Missouri and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Rafi Shmuel Fredman, Owner, as its authorized official.

NPPES Registry Identity

NPI1215563374
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameRAFI FREDMAN MD LLC
Location Address1551 WALL ST STE 420Saint Charles, MO 63303-3541
Mailing Address1551 Wall St Ste 420Saint Charles, MO 63303-3541 · (636) 329-4036 · Fax (636) 206-2898
Phone(636) 329-4036
Organization SubpartNo
Authorized OfficialRafi Shmuel FredmanOwner · (314) 277-3715
Enumeration DateMarch 20, 2020
Last NPPES UpdateSeptember 6, 20233 updates tracked since enumeration
NPPES CertifiedJune 14, 2020
✔ NPI 1215563374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1551 WALL ST STE 420, Saint Charles, MO 63303
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Other Names 1

Doing Business AsAmelia Aesthetics

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 26D2237746

Rafi Fredman MD LLC · Saint Charles, MO
Active · expires Sep 27, 2027
CLIA Number26D2237746
Laboratory TypePhysician Office
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorRafi S. Fredman
Laboratory Phone(636) 329-4036
Laboratory LocationRafi Fredman MD LLC1551 Wall Street, Suite 420, Saint Charles, MO 63303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. ALAN TOM M.D.
Surgery (Plastic and Reconstructive Surgery)
1551 WALL ST STE 420
SAINT CHARLES, MO 63303
St. Charles County (636) 329-4036
RAFI FREDMAN MD
Surgery (Plastic and Reconstructive Surgery)
1551 WALL ST STE 420
SAINT CHARLES, MO 63303
St. Charles County (636) 329-4036

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 Rafi Fredman MD LLC's NPI number?

The NPI number for Rafi Fredman MD LLC is 1215563374. It was assigned to this organization in the NPPES registry on March 20, 2020. The provider is doing business as Amelia Aesthetics.

Where is Rafi Fredman MD LLC located?

Rafi Fredman MD LLC is located at 1551 Wall St Ste 420, Saint Charles, MO 63303. The listed phone number is (636) 329-4036.

What is Rafi Fredman MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Rafi Fredman MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2237746) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rafi Fredman MD LLC was last updated on September 6, 2023. 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.