MEDWIN PRIMARY CARE L.L.C.
NPI 1376552067
Internal Medicine in Arnold, MO

Active since August 05, 2006CLIA Certified · 2 labs
3619 RICHARDSON SQUARE DR, ARNOLD, MO 63010(636) 461-1414 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Medwin Primary Care L.l.c. NPPES

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

MEDWIN PRIMARY CARE L.L.C. (NPI 1376552067) is a healthcare organization registered as an internal medicine in Arnold, Missouri and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Kurmanadha Green, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1376552067
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDWIN PRIMARY CARE L.L.C.
Location Address3619 RICHARDSON SQUARE DRArnold, MO 63010-6022
Mailing AddressPo Box 797052Saint Louis, MO 63179-7000 · (636) 461-1414
Organization SubpartNo
Authorized OfficialKurmanadha GreenBilling Manager · (314) 878-0163
Enumeration DateAugust 5, 2006
Last NPPES UpdateSeptember 26, 2012
✔ NPI 1376552067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 105197
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.
3619 RICHARDSON SQUARE DR, Arnold, MO 63010

Other Identifiers 1

Medicare ID-Type Unspecified000014446MO

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medwin Primary Care L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Medwin Primary Care L.L.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner6
Internal Medicine4
Family Practice1

Clinicians, nearest first (11)

Internal Medicine
NPI 1396771606
3619 RICHARDSON SQUARE DR SUITE 150
Arnold, MO 63010
(636) 461-1414
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457987166
3619 RICHARDSON SQUARE DR STE 150
Arnold, MO 63010
(636) 461-1414
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1093252777
4438 TELEGRAPH RD
Saint Louis, MO 63129
(314) 742-6000
✔ PECOS✔ Accepts Medicare6.7 mi
Nurse Practitioner
NPI 1356747513
774 GRAVOIS BLUFFS BLVD STE B
Fenton, MO 63026
(636) 685-7734
✔ PECOS✔ Accepts Medicare7.2 mi
Internal Medicine
NPI 1720058381
1400 US HIGHWAY 61 SUITE 250
Festus, MO 63028
(636) 543-2420
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1689035784
1455 US HIGHWAY 61 SUITE C
Festus, MO 63028
(636) 937-1528
✔ PECOS15 mi
Nurse Practitioner
NPI 1346600970
1 BARNES JEWISH HOSPITAL PLZ DIV IM ENDOCRINOLOGY
Saint Louis, MO 63110
(314) 362-3500
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1235624479
12977 N 40 DR STE 309
Saint Louis, MO 63141
(314) 301-9107
✔ PECOS20 mi
Internal Medicine
NPI 1790109247
201 BJC SAINT PETERS DR STE 200
Saint Peters, MO 63376
(636) 916-9615
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1528149531
11273 HIGHWAY 61 N
Robinsonville, MS 38664
(662) 357-0012
✔ PECOS✔ Accepts Medicare248 mi
Internal Medicine
NPI 1336147602
320 WESTERN BLVD STE 104
Glastonbury, CT 06033
(860) 633-2487
✔ PECOS969 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 26D0962377

Medwin Primary Care, LLC · Arnold, MO
Active · expires Jun 30, 2027
CLIA Number26D0962377
Laboratory TypeOther
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorK R R. Chadalawada
Laboratory Phone(636) 461-1414
Laboratory LocationMedwin Primary Care, LLC3619 Richardson Square Drive Ste 150, Arnold, MO 63010
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 26D2032347

Medwin Primary Care · High Ridge, MO
Active · expires Nov 7, 2027
CLIA Number26D2032347
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorK R Chadalawada
Laboratory Phone(636) 461-1414
Laboratory LocationMedwin Primary Care1688 Old Gravois Rd, High Ridge, MO 63049
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 Medwin Primary Care L.L.C.'s NPI number?

The NPI number for Medwin Primary Care L.L.C. is 1376552067. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Medwin Primary Care L.L.C. located?

Medwin Primary Care L.L.C. is located at 3619 Richardson Square Dr, Arnold, MO 63010. The listed phone number is (636) 461-1414.

What is Medwin Primary Care L.L.C.'s specialty?

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

Is Medwin Primary Care L.L.C. enrolled in Medicare?

Yes. Medwin Primary Care L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medwin Primary Care L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Medwin Primary Care L.L.C.. 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. The largest specialties are Nurse Practitioner (6), Internal Medicine (4) and Family Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medwin Primary Care L.L.C. 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.

What insurance does Medwin Primary Care L.L.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Medwin Primary Care L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medwin Primary Care L.L.C. was last updated on September 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.