GASTROENTEROLOGY CARE LLC
NPI 1417598947
Internal Medicine - Gastroenterology in Saint Louis, MO

Active since October 06, 2019
522 N NEW BALLAS RD STE 210, SAINT LOUIS, MO 63141(314) 724-1348 Get Directions Write a Review

NPPES record last updated: October 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gastroenterology Care Llc NPPES

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

GASTROENTEROLOGY CARE LLC (NPI 1417598947) is a healthcare organization registered as a gastroenterology in Saint Louis, Missouri and active in the NPI registry since October 2019. The organization lists Kishore Maganty, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1417598947
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameGASTROENTEROLOGY CARE LLC
Location Address522 N NEW BALLAS RD STE 210Saint Louis, MO 63141-6829
Mailing Address18 Ladue CtSaint Louis, MO 63141-7803 · (314) 724-1348
Organization SubpartNo
Authorized OfficialKishore MagantyPhysician Owner · (314) 724-1348
Enumeration DateOctober 6, 2019
✔ NPI 1417598947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
522 N NEW BALLAS RD STE 210, Saint Louis, MO 63141

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)

Gastroenterology Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gastroenterology Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gastroenterology
NPI 1790908820
522 N NEW BALLAS RD STE 210
Saint Louis, MO 63141
(314) 328-5930
✔ PECOS✔ Accepts MedicareSame address

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

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 Gastroenterology Care LLC's NPI number?

The NPI number for Gastroenterology Care LLC is 1417598947. It was assigned to this organization in the NPPES registry on October 6, 2019.

Where is Gastroenterology Care LLC located?

Gastroenterology Care LLC is located at 522 N New Ballas Rd Ste 210, Saint Louis, MO 63141. The listed phone number is (314) 724-1348.

What is Gastroenterology Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gastroenterology Care LLC enrolled in Medicare?

Yes. Gastroenterology Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gastroenterology Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Gastroenterology Care 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gastroenterology Care 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 1 other insurer list Gastroenterology Care 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 Gastroenterology Care LLC was last updated on October 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.