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PRUETT SURGICAL ASSOCIATES, LLC
NPI 1568403079
Specialist in Saint Louis, MO

Active since June 08, 2006
3009 N BALLAS RD, 132A, SAINT LOUIS, MO 63131(314) 995-6999(314) 995-7064 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pruett Surgical Associates, Llc NPPES

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

PRUETT SURGICAL ASSOCIATES, LLC (NPI 1568403079) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since June 2006. The organization lists Tracy J Parciak, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1568403079
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRUETT SURGICAL ASSOCIATES, LLC
Location Address3009 N BALLAS RD, 132ASaint Louis, MO 63131-2322
Mailing AddressPo Box 11750Saint Louis, MO 63105-0550 · (314) 432-2580 · Fax (314) 432-0223
Phone(314) 995-6999
Fax(314) 995-7064
Organization SubpartNo
Authorized OfficialTracy J ParciakOffice Manager · (314) 432-2580
Enumeration DateJune 8, 2006
Last NPPES UpdateSeptember 24, 2008
✔ NPI 1568403079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in MO · 2002008093✔ Licensed in MO · 27599
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3009 N BALLAS RD, Saint Louis, MO 63131
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Other Identifiers 3

Medicare ID-Type Unspecified000013989MO · Group Prov#
Other142447MO · Ghp/cmr Group Prov#
OtherDA 2337MO · Rr Mcr Group Prov#

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 MULTIPLE 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)

Pruett Surgical Associates, 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 Pruett Surgical Associates, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christopher Pruett, M.D.
General Surgery
NPI 1427094705
3009 N BALLAS RD 132A
Saint Louis, MO 63131
(314) 995-6999
✔ PECOS✔ Accepts Medicare0.1 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 Pruett Surgical Associates, LLC's NPI number?

The NPI number for Pruett Surgical Associates, LLC is 1568403079. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Pruett Surgical Associates, LLC located?

Pruett Surgical Associates, LLC is located at 3009 N Ballas Rd 132A, Saint Louis, MO 63131. The listed phone number is (314) 995-6999.

What is Pruett Surgical Associates, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pruett Surgical Associates, LLC enrolled in Medicare?

Yes. Pruett Surgical Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pruett Surgical Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Pruett Surgical Associates, 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 Pruett Surgical Associates, LLC was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.