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: August 02, 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

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.

Other Providers at the Same Location NPPES 16

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

Family Medicine
3619 RICHARDSON SQUARE DR
ARNOLD, MO 63010
Family Medicine
3619 RICHARDSON SQUARE DR, STE 170
ARNOLD, MO 63010
Nurse Practitioner (Women's Health)
3619 RICHARDSON SQUARE DR, SUITE 140
ARNOLD, MO 63010
Family Medicine
3619 RICHARDSON SQUARE DR
ARNOLD, MO 63010
Family Medicine
3619 RICHARDSON SQUARE DR
ARNOLD, MO 63010
General Acute Care Hospital
3619 RICHARDSON SQUARE DR
ARNOLD, MO 63010
Family Medicine
3619 RICHARDSON SQUARE DR, SUITE 170
ARNOLD, MO 63010
Internal Medicine
3619 RICHARDSON SQUARE DR, SUITE 150
ARNOLD, MO 63010

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.

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 13 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.