WUCA - CLOVERLEAF PEDIATRICS, LLC
NPI 1710375928
Pediatrics in Saint Peters, MO

Active since December 23, 2014CLIA 26D0926147 · Waiver
5301 VETERANS MEMORIAL PKWY STE 104, SAINT PETERS, MO 63376(636) 939-3362 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wuca - Cloverleaf Pediatrics, Llc NPPES

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

WUCA - CLOVERLEAF PEDIATRICS, LLC (NPI 1710375928) is a healthcare organization registered as a pediatrics in Saint Peters, Missouri and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Cathy Eghigian, Senior Director Managed Care, as its authorized official.

NPPES Registry Identity

NPI1710375928
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWUCA - CLOVERLEAF PEDIATRICS, LLC
Location Address5301 VETERANS MEMORIAL PKWY STE 104Saint Peters, MO 63376-2299
Mailing AddressPo Box 7412049Chicago, IL 60674-2011 · (636) 939-3362
Organization SubpartNo
Authorized OfficialCathy EghigianSenior Director Managed Care · (314) 273-0770
Enumeration DateDecember 23, 2014
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1710375928 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.
5301 VETERANS MEMORIAL PKWY STE 104, Saint Peters, MO 63376

Other Names 1

Other NameWashington University

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 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)

Wuca - Cloverleaf Pediatrics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Wuca - Cloverleaf Pediatrics, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Pediatric Medicine
NPI 1124092788
5301 VETERANS MEMORIAL PKWY STE 104
Saint Peters, MO 63376
(636) 939-3362
✔ PECOSSame address
Pediatric Medicine
NPI 1548234974
5301 VETERANS MEMORIAL PKWY STE 104
Saint Peters, MO 63376
(636) 939-3362
✔ PECOSSame address
Emergency Medicine
NPI 1043779044
5301 VETERANS MEMORIAL PKWY STE 104
Saint Peters, MO 63376
(636) 939-3362
✔ PECOSSame address
Pediatric Medicine
NPI 1972579654
5301 VETERANS MEMORIAL PKWY STE 104
Saint Peters, MO 63376
(636) 939-3362
✔ PECOSSame address
Clinical Social Worker
NPI 1073873550
4444 FOREST PARK AVE STE 2600
Saint Louis, MO 63108
(314) 286-1700
✔ PECOS21 mi
Clinical Social Worker
NPI 1477183689
4444 FOREST PARK AVE STE 2600
Saint Louis, MO 63108
(314) 286-1700
✔ PECOS21 mi
Clinical Social Worker
NPI 1619602620
4444 FOREST PARK AVE STE 2600
Saint Louis, MO 63108
(314) 286-1700
✔ PECOS21 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 26D0926147

Wuca-Cloverleaf Pediatrics · Saint Peters, MO
Active · expires Apr 9, 2027
CLIA Number26D0926147
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorAlla Dorfman
Laboratory Phone(636) 939-3365
Laboratory LocationWuca-Cloverleaf Pediatrics5301 Veterans Memorial Parkway, Suite 104, Saint Peters, MO 63376
CLIA data matches this NPI record on: Address 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 Wuca - Cloverleaf Pediatrics, LLC's NPI number?

The NPI number for Wuca - Cloverleaf Pediatrics, LLC is 1710375928. It was assigned to this organization in the NPPES registry on December 23, 2014. The provider is also known as Washington University.

Where is Wuca - Cloverleaf Pediatrics, LLC located?

Wuca - Cloverleaf Pediatrics, LLC is located at 5301 Veterans Memorial Pkwy Ste 104, Saint Peters, MO 63376. The listed phone number is (636) 939-3362.

What is Wuca - Cloverleaf Pediatrics, LLC's specialty?

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

Is Wuca - Cloverleaf Pediatrics, LLC enrolled in Medicare?

Yes. Wuca - Cloverleaf Pediatrics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wuca - Cloverleaf Pediatrics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Wuca - Cloverleaf Pediatrics, 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. The largest specialties are Clinical Social Worker (3), Pediatric Medicine (3) and Emergency Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wuca - Cloverleaf Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0926147) is associated with this NPI, valid through April 9, 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 - Cloverleaf Pediatrics, LLC was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.