MERCY CLINIC SOUTH PHYSICIANS
NPI 1497088082
Internal Medicine in Saint Louis, MO

NPI Status: Active since September 14, 2009

Contact Information

12700 SOUTHFORK RD
STE 200 & 220
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 543-5942
Fax: (314) 543-5947

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  • Organization
  • Internal Medicine
  • Accepts Insurance
  • CLIA Number: 26D2100913
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-30-2026

About MERCY CLINIC SOUTH PHYSICIANS

This page provides the complete NPI Profile along with additional information for Mercy Clinic South Physicians, an internist established in Saint Louis, Missouri operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1497088082 assigned on September 2009. The practitioner's primary taxonomy code is 207R00000X with license number 106241 (MO). The provider is registered as an organization and their NPI record was last updated 7 years ago. Mercy Clinic South Physicians operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mercy Clinic South Physicians. The authorized official of this NPI record is Ms. Cheryl Matejka (Cfo East Communities & Sfo)

NPI
1497088082
Provider Legal Name
ST. ANTHONY'S PHYSICIAN ORGANIZATION
Other Organization Name
MERCY CLINIC SOUTH PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12700 SOUTHFORK RD STE 200 & 220 SAINT LOUIS, MO 63128
Location Phone
(314) 543-5942
Location Fax
(314) 543-5947
Mailing Address
12700 SOUTHFORK RD STE.200 & 220 SAINT LOUIS, MO 63128
Mailing Phone
(314) 543-5942
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-14-2009
Last Update Date
01-04-2019
Code Navigator

An internist like Mercy Clinic South Physicians is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
106241
License State
MO
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CHERYL MATEJKA

Authorized Official Title
CFO EAST COMMUNITIES & SFO
Authorized Official Phone
(314) 251-1958

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2100913
Facility Type
Physician Office
Certificate Effective Date
October 01, 2024
Certificate Expiration Date
September 30, 2026
Laboratory Director
SUSAN W. YANG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mercy Clinic South Physicians to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MERCY CLINIC SOUTH PHYSICIANS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497088082, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 0 + 8 + 1 + 6 + 0 + 1 + 6 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1497088082.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
12700 SOUTHFORK RD, STE 205
SAINT LOUIS, MO 63128
Internal Medicine
12700 SOUTHFORK RD, SUITE 290
SAINT LOUIS, MO 63128
Internal Medicine
12700 SOUTHFORK RD, STE. 280
SAINT LOUIS, MO 63128
Internal Medicine (Geriatric Medicine)
12700 SOUTHFORK RD, SUITE 105
SAINT LOUIS, MO 63128
Internal Medicine (Geriatric Medicine)
12700 SOUTHFORK RD, SUITE 105
SAINT LOUIS, MO 63128
Clinic/Center (Ambulatory Surgical)
12700 SOUTHFORK RD
SAINT LOUIS, MO 63128
Nurse Practitioner
12700 SOUTHFORK RD, SUITE 220
SAINT LOUIS, MO 63128
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12700 SOUTHFORK RD, STE 215
SAINT LOUIS, MO 63128
Nurse Practitioner (Pediatrics)
12700 SOUTHFORK RD, STE 140
SAINT LOUIS, MO 63128
Obstetrics & Gynecology (Gynecology)
12700 SOUTHFORK RD, STE 255
SAINT LOUIS, MO 63128
Nurse Practitioner (Adult Health)
12700 SOUTHFORK RD, SUITE 105
SAINT LOUIS, MO 63128
General Practice
12700 SOUTHFORK RD, STE. 255
SAINT LOUIS, MO 63128
Surgery
12700 SOUTHFORK RD, SUITE 255
SAINT LOUIS, MO 63128
Audiologist
12700 SOUTHFORK RD, SUITE 255
SAINT LOUIS, MO 63128
Audiologist
12700 SOUTHFORK RD, SUITE 255
SAINT LOUIS, MO 63128
Nursing Facility/Intermediate Care Facility
12700 SOUTHFORK RD, SUITE 105
SAINT LOUIS, MO 63128
Pediatrics
12700 SOUTHFORK RD, STE 215
SAINT LOUIS, MO 63128
Internal Medicine (Pulmonary Disease)
12700 SOUTHFORK RD
SAINT LOUIS, MO 63128
Internal Medicine (Pulmonary Disease)
12700 SOUTHFORK RD
SAINT LOUIS, MO 63128
Internal Medicine (Pulmonary Disease)
12700 SOUTHFORK RD
SAINT LOUIS, MO 63128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497088082, enumerated as an "organization" on September 14, 2009.

The provider is located at 12700 SOUTHFORK RD STE 200 & 220 SAINT LOUIS, MO 63128 and the phone number is (314) 543-5942.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.