ADVANCED MEDICAL ASSOCIATES, LLC
NPI 1275705501
Internal Medicine in Saint Louis, MO

Q: What is Advanced Medical Associates, LLC's NPI number?

The NPI number for Advanced Medical Associates, LLC is 1275705501. It was assigned to this organization in the NPPES registry on March 27, 2008.

Q: What is Advanced Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 27, 2008CLIA Certified · 2 labs

4100 UNION BLVD UNIT B, SAINT LOUIS, MO 63115(314) 531-1112(314) 288-0674 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Advanced Medical Associates, Llc NPPES

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

ADVANCED MEDICAL ASSOCIATES, LLC (NPI 1275705501) is a healthcare organization registered as an internal medicine in Saint Louis, Missouri and active in the NPI registry since March 2008. The organization holds 2 active CLIA laboratory certificates and lists Bhajanlal S Dara, Member, as its authorized official.

NPPES Registry Identity

NPI1275705501

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameADVANCED MEDICAL ASSOCIATES, LLC

Location Address4100 UNION BLVD UNIT BSaint Louis, MO 63115-1225

Mailing Address1234 Lay RdSaint Louis, MO 63124-1872 · (314) 323-4492 · Fax (800) 469-1494

Phone(314) 531-1112

Fax(314) 288-0674

Organization SubpartNo

Authorized OfficialBhajanlal S DaraMember · (314) 531-1112

Enumeration DateMarch 27, 2008

Last NPPES UpdateMarch 7, 2022

NPPES CertifiedMarch 7, 2022

✔ NPI 1275705501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4100 UNION BLVD UNIT B, Saint Louis, MO 63115

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Medical Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Medical Associates, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Ameesh Dara, D.O.

Nephrology

NPI 1417367244

777 S NEW BALLAS RD STE 328W
Saint Louis, MO 63141

(314) 869-0370

✔ PECOS✔ Accepts Medicare11 mi

Bhajan Dara, M.D.

Internal Medicine

NPI 1699708016

777 S NEW BALLAS RD STE 328W
Saint Louis, MO 63141

(314) 869-0370

✔ PECOS✔ Accepts Medicare11 mi

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

CLIA Laboratory Certificates CMS CLIA 2

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 26D1022371

Advanced Medical Associates LLC · Saint Louis, MO

Active · expires Jun 6, 2027

CLIA Number26D1022371

Laboratory TypePhysician Office

Certificate Effective DateJune 7, 2025

Certificate Expiration DateJune 6, 2027

Laboratory DirectorBhajanlal S. Dara

Laboratory Phone(314) 531-1112

Laboratory LocationAdvanced Medical Associates LLC4100 Union Blvd Unit B, Saint Louis, MO 63115

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2314807

Advanced Medical Associates, LLC · Florissant, MO

Active · expires Nov 26, 2026

CLIA Number26D2314807

Laboratory TypePhysician Office

Certificate Effective DateNovember 27, 2024

Certificate Expiration DateNovember 26, 2026

Laboratory DirectorDara D. Bhajanial

Laboratory Phone(314) 531-1112

Laboratory LocationAdvanced Medical Associates, LLC1224 Graham Rd, Suite 1111, Florissant, MO 63031

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Medical Associates, LLC's NPI number?

The NPI number for Advanced Medical Associates, LLC is 1275705501. It was assigned to this organization in the NPPES registry on March 27, 2008.

Where is Advanced Medical Associates, LLC located?

Advanced Medical Associates, LLC is located at 4100 Union Blvd Unit B, Saint Louis, MO 63115. The listed phone number is (314) 531-1112.

What is Advanced Medical Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Advanced Medical Associates, LLC enrolled in Medicare?

Yes. Advanced Medical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Medical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Medical Associates, LLC, in Internal Medicine and Nephrology. 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.

Does Advanced Medical Associates, LLC hold CLIA laboratory certificates?

Yes. 2 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 Advanced Medical Associates, LLC was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.