INTEGRATED MEDICAL GROUP, LLC
NPI 1265327076
General Practice in Saint Louis, MO
About Integrated Medical Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED MEDICAL GROUP, LLC (NPI 1265327076) is a healthcare organization registered as a general practice in Saint Louis, Missouri and active in the NPI registry since June 2025. The organization lists Mitchell Liberman, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Integrated Medical Group, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Integrated Medical Group, LLC's NPI number?
The NPI number for Integrated Medical Group, LLC is 1265327076. It was assigned to this organization in the NPPES registry on June 11, 2025.
Where is Integrated Medical Group, LLC located?
Integrated Medical Group, LLC is located at 6155 S Grand Blvd Ste 140, Saint Louis, MO 63111. The listed phone number is (314) 526-6093.
What is Integrated Medical Group, LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Integrated Medical Group, LLC enrolled in Medicare?
Yes. Integrated Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Integrated Medical Group, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Integrated Medical Group, LLC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Integrated Medical Group, Llc · NPI 1265327076
General Practice organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since June 11, 2025.
## Identity
- **NPI:** 1265327076 (Entity type: Organization)
- **Enumerated:** June 11, 2025
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Mitchell Liberman, MANAGER
## Practice location
- **Address:** 6155 S GRAND BLVD STE 140, Saint Louis, MO 63111-2319
- **Phone:** (314) 526-6093
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1265327076) · Data from the CMS NPPES public registry.