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ORTHOPEDIC CENTER OF ST LOUIS IMG LLC
NPI 1649041666
Orthopaedic Surgery in Chesterfield, MO

Active since January 09, 2024CLIA 26D1010659 · Waiver
14825 N OUTER 40 RD STE 200, CHESTERFIELD, MO 63017(314) 336-2555(314) 336-2557 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Orthopedic Center Of St Louis Img Llc NPPES

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

ORTHOPEDIC CENTER OF ST LOUIS IMG LLC (NPI 1649041666) is a healthcare organization registered as an orthopaedic surgery in Chesterfield, Missouri and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 19, 2027 and lists Ken Kilen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1649041666
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameORTHOPEDIC CENTER OF ST LOUIS IMG LLC
Location Address14825 N OUTER 40 RD STE 200Chesterfield, MO 63017-2152
Mailing Address14825 N Outer 40 Rd Ste 200Chesterfield, MO 63017-2152 · (314) 336-2555 · Fax (314) 336-2557
Phone(314) 336-2555
Fax(314) 336-2557
Organization SubpartNo
Authorized OfficialKen KilenAdministrator · (314) 336-2555
Enumeration DateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1649041666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
14825 N OUTER 40 RD STE 200, Chesterfield, MO 63017
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Orthopedic Center Of St Louis Img Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Orthopedic Center Of St Louis Img 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 (4)

Jaimie Shores, M.D.
Plastic and Reconstructive Surgery
NPI 1972705663
14825 N OUTER 40 RD
Chesterfield, MO 63017
(314) 336-2555
✔ PECOS✔ Accepts MedicareSame address
Emily Whicker, MD
Orthopedic Surgery
NPI 1306339775
14825 NORTH OUTER 40 RD STE 200
Chesterfield, MO 63017
(314) 336-2555
✔ PECOS✔ Accepts Medicare0.4 mi
Nicholas Calotta, MD
Plastic and Reconstructive Surgery
NPI 1962891564
4921 PARKVIEW PL DEPT ORTHOPAEDIC SURGERY, STE 6A/6B/12A
Saint Louis, MO 63110
(314) 514-3500
✔ PECOS✔ Accepts Medicare15 mi
Charles Grimshaw, M.D.
Orthopedic Surgery
NPI 1851590673
11125 DUNN RD STE 301
Saint Louis, MO 63136
(314) 953-8250
✔ PECOS✔ Accepts Medicare18 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 26D1010659

Orthopedic Center Of St Louis-Img LLC · Chesterfield, MO
Active · expires Mar 19, 2027
CLIA Number26D1010659
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2025
Certificate Expiration DateMarch 19, 2027
Laboratory DirectorJohn Krause
Laboratory Phone(314) 336-5672
Laboratory LocationOrthopedic Center Of St Louis-Img LLC14825 North Outer Forty Rd, Ste 200, Chesterfield, MO 63017
CLIA data matches this NPI record on: Name
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 Orthopedic Center Of St Louis Img LLC's NPI number?

The NPI number for Orthopedic Center Of St Louis Img LLC is 1649041666. It was assigned to this organization in the NPPES registry on January 9, 2024.

Where is Orthopedic Center Of St Louis Img LLC located?

Orthopedic Center Of St Louis Img LLC is located at 14825 N Outer 40 Rd Ste 200, Chesterfield, MO 63017. The listed phone number is (314) 336-2555.

What is Orthopedic Center Of St Louis Img LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Orthopedic Center Of St Louis Img LLC enrolled in Medicare?

Yes. Orthopedic Center Of St Louis Img LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthopedic Center Of St Louis Img LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Orthopedic Center Of St Louis Img LLC, in Orthopedic Surgery and Plastic and Reconstructive Surgery. 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.

Does Orthopedic Center Of St Louis Img LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1010659) is associated with this NPI, valid through March 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Orthopedic Center Of St Louis Img LLC was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.