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WUCA-WESTSIDE PEDIATRICS LLC
NPI 1700325123
Pediatrics in Lake St Louis, MO

Active since February 17, 2017CLIA 26D0441391 · Waiver
100 BREVCO PLZ, SUITE 101, LAKE ST LOUIS, MO 63367(636) 561-5437(636) 561-5100 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2025, Feb 17, 2017 (2 updates tracked since 2017).

About Wuca-westside Pediatrics Llc NPPES

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

WUCA-WESTSIDE PEDIATRICS LLC (NPI 1700325123) is a healthcare organization registered as a pediatrics in Lake St Louis, Missouri and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Cathy Eghigian, Senior Director Wu Managed Care, as its authorized official.

NPPES Registry Identity

NPI1700325123
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWUCA-WESTSIDE PEDIATRICS LLC
Location Address100 BREVCO PLZ, SUITE 101Lake St Louis, MO 63367-1382
Mailing AddressPo Box 7412119Chicago, IL 60674-2011 · (636) 561-5437 · Fax (636) 561-5100
Phone(636) 561-5437
Fax(636) 561-5100
Organization SubpartNo
Authorized OfficialCathy EghigianSenior Director Wu Managed Care · (618) 791-0975
Enumeration DateFebruary 17, 2017
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1700325123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 BREVCO PLZ, Lake St Louis, MO 63367
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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

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 26D0441391

Wuca-Westside Pediatrics, LLC · Lake Saint Louis, MO
Active · expires Jun 12, 2027
CLIA Number26D0441391
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorKris A. Roberts
Laboratory Phone(636) 561-5437
Laboratory LocationWuca-Westside Pediatrics, LLC100 Brevco Plaza, Suite 101, Lake Saint Louis, MO 63367
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELLE LYNN BRENEMAN PNP
Nurse Practitioner (Pediatrics)
100 BREVCO PLZ, STE 101
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 561-5437
NARESH J SOLANKI M.D.
Pediatrics (Adolescent Medicine)
100 BREVCO PLZ, SUITE 101
LAKE ST LOUIS, MO 63367
St. Charles County (636) 561-5437
NARESH SOLANKI INC
Pediatrics (Adolescent Medicine)
100 BREVCO PLZ, SUITE 101
LAKE ST LOUIS, MO 63367
St. Charles County (636) 561-5437
DR. RICHARD A FELKEL MD
Pediatrics
100 BREVCO PLZ, STE 101
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 561-5437
DR. KRIS ANN ROBERTS DO
Pediatrics
100 BREVCO PLZ, STE 101
LAKE SAINT LOUIS, MO 63367
St. Charles County (636) 561-5437

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 Wuca-Westside Pediatrics LLC's NPI number?

The NPI number for Wuca-Westside Pediatrics LLC is 1700325123. It was assigned to this organization in the NPPES registry on February 17, 2017.

Where is Wuca-Westside Pediatrics LLC located?

Wuca-Westside Pediatrics LLC is located at 100 Brevco Plz Suite 101, Lake St Louis, MO 63367. The listed phone number is (636) 561-5437.

What is Wuca-Westside Pediatrics LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Wuca-Westside Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0441391) is associated with this NPI, valid through June 12, 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 Wuca-Westside Pediatrics LLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.