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EVOLUTION MD, LLC
NPI 1699425314
Family Medicine in Saint Peters, MO

Active since March 25, 2022
4127 MEXICO RD, SAINT PETERS, MO 63376(636) 534-0200(636) 534-0211 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Apr 11, 2022, Apr 8, 2022 (3 updates tracked since 2022).

About Evolution Md, Llc NPPES

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

EVOLUTION MD, LLC (NPI 1699425314) is a healthcare organization registered as a family medicine in Saint Peters, Missouri and active in the NPI registry since March 2022. The organization lists Jose Marino Parra, Owner, as its authorized official.

NPPES Registry Identity

NPI1699425314
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVOLUTION MD, LLC
Location Address4127 MEXICO RDSaint Peters, MO 63376-6410
Mailing AddressPo Box 37002Saint Louis, MO 63141-1502
Phone(636) 534-0200
Fax(636) 534-0211
Organization SubpartNo
Authorized OfficialJose Marino ParraOwner · (636) 534-0200
Enumeration DateMarch 25, 2022
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1699425314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4127 MEXICO RD, Saint Peters, MO 63376
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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)

Evolution Md, 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 Evolution MD, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jose Parra, MD
Family Practice
NPI 1821283193
522 N NEW BALLAS RD STE 317
Creve Coeur, MO 63141
(636) 534-0200
✔ PECOS✔ Accepts Medicare11 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 Evolution MD, LLC's NPI number?

The NPI number for Evolution MD, LLC is 1699425314. It was assigned to this organization in the NPPES registry on March 25, 2022.

Where is Evolution MD, LLC located?

Evolution MD, LLC is located at 4127 Mexico Rd, Saint Peters, MO 63376. The listed phone number is (636) 534-0200.

What is Evolution MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Evolution MD, LLC enrolled in Medicare?

Yes. Evolution MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evolution MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Evolution MD, 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 Evolution MD, LLC was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.