INTERNAL MEDICINE AT WINGHAVEN, LLC
NPI 1487924288
Internal Medicine in O Fallon, MO

Active since January 10, 2012
5551 WINGHAVEN BLVD STE 290, O FALLON, MO 63368(636) 695-2575(314) 590-5938 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2026, Dec 12, 2025, Apr 6, 2021 (3 updates tracked since 2021).

About Internal Medicine At Winghaven, Llc NPPES

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

INTERNAL MEDICINE AT WINGHAVEN, LLC (NPI 1487924288) is a healthcare organization registered as an internal medicine in O Fallon, Missouri and active in the NPI registry since January 2012. The organization lists Darren Haskell, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1487924288
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTERNAL MEDICINE AT WINGHAVEN, LLC
Location Address5551 WINGHAVEN BLVD STE 290O Fallon, MO 63368-3629
Mailing Address121 Saint Lukes Center Dr Ste 200Chesterfield, MO 63017-3518 · (636) 685-7804 · Fax (314) 576-2433
Fax(314) 590-5938
Organization SubpartYesParent: St. Lukes Medical Group
Authorized OfficialDarren HaskellChief Medical Officer · (314) 205-6444
Enumeration DateJanuary 10, 2012
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1487924288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
5551 WINGHAVEN BLVD STE 290, O Fallon, MO 63368

Other Identifiers 1

Medicaid1487924288MO

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)

Internal Medicine At Winghaven, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Internal Medicine At Winghaven, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1861928244
5551 WINGHAVEN BLVD STE 290
O Fallon, MO 63368
(636) 695-2575
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1497729826
2299 TECHNOLOGY DR STE 230
O Fallon, MO 63368
(636) 695-0500
✔ PECOS✔ Accepts Medicare0.3 mi
Rheumatology
NPI 1366962417
20 YORK ST
New Haven, CT 06510
(203) 680-7050
✔ PECOS✔ Accepts Medicare959 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

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 26D0952700

Internal Medicine At Winghaven · O Fallon, MO
Expired · Oct 18, 2026
CLIA Number26D0952700
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorGary D. Gray
Laboratory Phone(636) 695-2575
Laboratory LocationInternal Medicine At Winghaven5551 Wing Haven Blvd Ste 290, O Fallon, MO 63368
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 Internal Medicine At Winghaven, LLC's NPI number?

The NPI number for Internal Medicine At Winghaven, LLC is 1487924288. It was assigned to this organization in the NPPES registry on January 10, 2012.

Where is Internal Medicine At Winghaven, LLC located?

Internal Medicine At Winghaven, LLC is located at 5551 Winghaven Blvd Ste 290, O Fallon, MO 63368. The listed phone number is (636) 695-2575.

What is Internal Medicine At Winghaven, LLC's specialty?

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

Is Internal Medicine At Winghaven, LLC enrolled in Medicare?

Yes. Internal Medicine At Winghaven, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine At Winghaven, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Internal Medicine At Winghaven, LLC, in Internal Medicine, Nurse Practitioner and Rheumatology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Internal Medicine At Winghaven, 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 Internal Medicine At Winghaven, 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 Internal Medicine At Winghaven, LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.