AGAFAY WEIGHT LOSS CENTER LLC
NPI 1477359016
Preventive Medicine - Obesity Medicine in Saint Louis, MO

Q: What is Agafay Weight Loss Center LLC's NPI number?

The NPI number for Agafay Weight Loss Center LLC is 1477359016. It was assigned to this organization in the NPPES registry on February 24, 2025. The provider is also known as Agafay Weight Loss Center.

Q: What is Agafay Weight Loss Center LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Obesity Medicine, with taxonomy code 2083B0002X.

Active since February 24, 2025

10420 OLD OLIVE STREET RD STE 100, SAINT LOUIS, MO 63141(314) 914-4833 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2025, Feb 24, 2025 (2 updates tracked since 2025).

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About Agafay Weight Loss Center Llc NPPES

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

AGAFAY WEIGHT LOSS CENTER LLC (NPI 1477359016) is a healthcare organization registered as an obesity medicine in Saint Louis, Missouri and active in the NPI registry since February 2025. The organization lists Peninnah Mutungi, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1477359016

Entity TypeOrganization

Primary Taxonomy2083B0002X

Legal Business NameAGAFAY WEIGHT LOSS CENTER LLC

Location Address10420 OLD OLIVE STREET RD STE 100Saint Louis, MO 63141-5937

Mailing Address10420 Old Olive Street Rd Ste 100Saint Louis, MO 63141-5937 · (314) 914-4833

Phone(314) 914-4833

Organization SubpartNo

Authorized OfficialPeninnah MutungiMd/owner · (401) 787-8864

Enumeration DateFebruary 24, 2025

Last NPPES UpdateApril 22, 20252 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1477359016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Obesity MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083B0002X

Definition

A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

10420 OLD OLIVE STREET RD STE 100, Saint Louis, MO 63141

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Other Names 1

Other NameAgafay Weight Loss Center

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)

Agafay Weight Loss Center 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 Agafay Weight Loss Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Peninnah Mutungi, MD

Internal Medicine

NPI 1720251945

10010 KENNERLY RD 3 SOUTHBRIDGE
Saint Louis, MO 63128

(314) 525-1328

✔ PECOS✔ Accepts Medicare12 mi

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 Agafay Weight Loss Center LLC's NPI number?

The NPI number for Agafay Weight Loss Center LLC is 1477359016. It was assigned to this organization in the NPPES registry on February 24, 2025. The provider is also known as Agafay Weight Loss Center.

Where is Agafay Weight Loss Center LLC located?

Agafay Weight Loss Center LLC is located at 10420 Old Olive Street Rd Ste 100, Saint Louis, MO 63141. The listed phone number is (314) 914-4833.

What is Agafay Weight Loss Center LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Obesity Medicine, with taxonomy code 2083B0002X.

Is Agafay Weight Loss Center LLC enrolled in Medicare?

Yes. Agafay Weight Loss Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agafay Weight Loss Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Agafay Weight Loss Center 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.

When was this NPI record last updated?

The NPPES record for Agafay Weight Loss Center LLC was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.