PREMIER MEDICAL PHYSICIANS LLC
NPI 1417459207
Clinic/Center - Multi-Specialty in Saint Louis, MO
About Premier Medical Physicians Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER MEDICAL PHYSICIANS LLC (NPI 1417459207) is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since March 2018. The organization holds a CLIA Microscopy certificate valid through June 24, 2027, maintains a secondary practice location in Saint Louis, and lists Darren R. Haskell, Chief Medical Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Group Practice 1
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)
Premier Medical Physicians Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Premier Medical Physicians LLC, which bills Medicare for the services they deliver. Of these, 19 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 34Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 26D1088729
Premier Medical Physicians LLC · Saint Louis, MOCertificate of Waiver 26D1089913
Premier Medical Physicians, LLC · St. Louis, MOFrequently 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 Premier Medical Physicians LLC's NPI number?
The NPI number for Premier Medical Physicians LLC is 1417459207. It was assigned to this organization in the NPPES registry on March 7, 2018.
Where is Premier Medical Physicians LLC located?
Premier Medical Physicians LLC is located at 2325 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122. The listed phone number is (314) 821-6889.
What is Premier Medical Physicians LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Premier Medical Physicians LLC enrolled in Medicare?
Yes. Premier Medical Physicians LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier Medical Physicians LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 5 Medicare specialties reassign their Medicare billing to Premier Medical Physicians LLC. 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 (14), Diagnostic Radiology (10) and Family Practice (5). Of these, 19 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Premier Medical Physicians LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D1088729) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Premier Medical Physicians LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Premier Medical Physicians LLC 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 Premier Medical Physicians LLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Premier Medical Physicians Llc · NPI 1417459207
Multi-Specialty organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since March 7, 2018.
## Identity
- **NPI:** 1417459207 (Entity type: Organization)
- **Enumerated:** March 7, 2018
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** Yes (part of St. Lukes Medical Group)
- **Authorized official:** Darren Haskell, CHIEF MEDICAL OFFICER
## Practice location
- **Address:** 2325 DOUGHERTY FERRY RD STE 104, Saint Louis, MO 63122-3356
- **Phone:** (314) 821-6889 · **Fax:** (314) 821-1887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (14), Diagnostic Radiology (10), Family Practice (5); 19 practice within 10 miles; [full list](https://npiprofile.com/npi/1417459207/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2026
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1417459207) · Data from the CMS NPPES public registry.