INTEGRATED MEDICAL GROUP, LLC
NPI 1265327076
General Practice in Saint Louis, MO

Active since June 11, 2025
6155 S GRAND BLVD STE 140, SAINT LOUIS, MO 63111(314) 526-6093 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1265327076
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED MEDICAL GROUP, LLC
Location Address6155 S GRAND BLVD STE 140Saint Louis, MO 63111-2319
Mailing Address6155 S Grand Blvd Ste 140Saint Louis, MO 63111-2319 · (314) 526-6093
Organization SubpartNo
Authorized OfficialMitchell LibermanManager · (314) 374-3408
Enumeration DateJune 11, 2025
NPPES CertifiedJune 11, 2025
NPI 1265327076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6155 S GRAND BLVD STE 140, Saint Louis, MO 63111

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

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 13 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.