1. Home
  2. Directory
  3. Illinois
  4. O Fallon
  5. Specialist
  6. NPI Profile

UROLOGY OF ST. LOUIS, INC.
NPI 1265392476
Specialist in O Fallon, IL

Active since November 12, 2025CLIA Certified · 14 labs
3 SAINT ELIZABETH BLVD STE 3900, O FALLON, IL 62269(314) 806-1770(314) 558-9017 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Urology Of St. Louis, Inc. NPPES

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

UROLOGY OF ST. LOUIS, INC. (NPI 1265392476), doing business as Neurosurgery Of St Louis, is a healthcare organization registered as a specialist in O Fallon, Illinois and active in the NPI registry since November 2025. The organization holds 14 active CLIA laboratory certificates and lists Angie Smith, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1265392476
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUROLOGY OF ST. LOUIS, INC.
Location Address3 SAINT ELIZABETH BLVD STE 3900O Fallon, IL 62269-1282
Mailing Address12855 N 40 Dr Ste 375Saint Louis, MO 63141-8657 · (314) 567-6071 · Fax (314) 453-9965
Phone(314) 806-1770
Fax(314) 558-9017
Organization SubpartYes
Authorized OfficialAngie SmithCredentialing Manager · (314) 336-5062
Enumeration DateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1265392476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 SAINT ELIZABETH BLVD STE 3900, O Fallon, IL 62269
Open in Google Maps ↗

Other Names 1

Doing Business AsNeurosurgery Of St Louis

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

CLIA Laboratory Certificates CMS CLIA 15

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 for Provider-Performed Microscopy Procedures (PPMP) 26D2267321

Urology Of St Louis, Inc · Saint Louis, MO
Active · expires May 20, 2028
CLIA Number26D2267321
Laboratory TypePhysician Office
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorGregory B. Auffenberg
Laboratory Phone(314) 567-6071
Laboratory LocationUrology Of St Louis, Inc12855 N 40 Drive Suite 385, Saint Louis, MO 63141
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0940139

Urology Of St Louis, Inc · Columbia, IL
Active · expires Feb 4, 2028
CLIA Number14D0940139
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorChristopher L. Vulin, MD
Laboratory Phone(314) 567-6071
Laboratory LocationUrology Of St Louis, Inc1000 Eleven S - Ste 3 C, Columbia, IL 62236
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D2249831

Urology Of St Louis · Saint Louis, MO
Active · expires Jan 23, 2028
CLIA Number26D2249831
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorEtai Goldenberg
Laboratory Phone(314) 567-6071
Laboratory LocationUrology Of St Louis12855N 40 Drive Suite 350, Saint Louis, MO 63141
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D2336543

Urology Of St Louis, Inc · Dardenne Prairie, MO
Active · expires Jan 5, 2028
CLIA Number26D2336543
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorChristopher Dennis Jaeger
Laboratory Phone(314) 567-6071
Laboratory LocationUrology Of St Louis, Inc20 Progress Point Parkway Ste 202, Dardenne Prairie, MO 63368
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D2241011

Urology Of St Louis · Washington, MO
Active · expires Oct 24, 2027
CLIA Number26D2241011
Laboratory TypePhysician Office
Certificate Effective DateOctober 25, 2025
Certificate Expiration DateOctober 24, 2027
Laboratory DirectorAndrew Blackburne
Laboratory Phone(314) 567-6071
Laboratory LocationUrology Of St Louis3195 Phoenix Center Dr, Urology Suite, Washington, MO 63090
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D2240322

Urology Of St Louis · Saint Louis, MO
Active · expires Oct 18, 2027
CLIA Number26D2240322
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorMatthew Spellman
Laboratory Phone(314) 567-6071
Laboratory LocationUrology Of St Louis12855 N40 Drive Ste 125, Saint Louis, MO 63141
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

STEPHEN J JOHANS M.D.
Neurological Surgery
3 SAINT ELIZABETH BLVD STE 3900
O FALLON, IL 62269
St. Clair County (888) 828-8608
DR. SARAH JOST FOUKE MD
Neurological Surgery
3 SAINT ELIZABETH BLVD STE 3900
O FALLON, IL 62269
St. Clair County (888) 828-8608
MS. MEGAN SAMANTHA KNETZER FNP
Nurse Practitioner (Adult Health)
3 SAINT ELIZABETH BLVD STE 3900
O FALLON, IL 62269
St. Clair County (314) 806-1770

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 Urology Of St. Louis, Inc.'s NPI number?

The NPI number for Urology Of St. Louis, Inc. is 1265392476. It was assigned to this organization in the NPPES registry on November 12, 2025. The provider is doing business as Neurosurgery of St Louis.

Where is Urology Of St. Louis, Inc. located?

Urology Of St. Louis, Inc. is located at 3 Saint Elizabeth Blvd Ste 3900, O Fallon, IL 62269. The listed phone number is (314) 806-1770.

What is Urology Of St. Louis, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Urology Of St. Louis, Inc. hold CLIA laboratory certificates?

Yes. 14 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Urology Of St. Louis, Inc. was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.