STELLA MARIS INTERNAL MEDICINE LLC
NPI 1710925383
Internal Medicine in Saint Louis, MO

Active since June 03, 2006
12855 N 40 DR, SUITE 350, SAINT LOUIS, MO 63141(314) 205-1926(314) 205-1076 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stella Maris Internal Medicine Llc NPPES

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

STELLA MARIS INTERNAL MEDICINE LLC (NPI 1710925383) is a healthcare organization registered as an internal medicine in Saint Louis, Missouri and active in the NPI registry since June 2006. The organization lists Hani Charles Soudah, Doctor, as its authorized official.

NPPES Registry Identity

NPI1710925383
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTELLA MARIS INTERNAL MEDICINE LLC
Location Address12855 N 40 DR, SUITE 350Saint Louis, MO 63141-8635
Mailing Address12855 N 40 Dr, Suite 350Saint Louis, MO 63141-8635 · (314) 205-1926 · Fax (314) 205-1076
Fax(314) 205-1076
Organization SubpartNo
Authorized OfficialHani Charles SoudahDoctor · (314) 205-1926
Enumeration DateJune 3, 2006
Last NPPES UpdateMarch 17, 2014
NPI 1710925383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 103060
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12855 N 40 DR, Saint Louis, MO 63141

Other Identifiers 1

Medicare UPING29059MO

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

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Medical Specialty)
12855 N 40 DR, SUITE 275
SAINT LOUIS, MO 63141
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141
Anesthesiology
12855 N 40 DR, SUITE 275
SAINT LOUIS, MO 63141
Registered Nurse
12855 N 40 DR, SUITE 100
SAINT LOUIS, MO 63141
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141
Clinic/Center (Medical Specialty)
12855 N 40 DR, SUITE 205
SAINT LOUIS, MO 63141
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141
Internal Medicine
12855 N 40 DR, SUITE 280
SAINT LOUIS, MO 63141

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 Stella Maris Internal Medicine LLC's NPI number?

The NPI number for Stella Maris Internal Medicine LLC is 1710925383. It was assigned to this organization in the NPPES registry on June 3, 2006.

Where is Stella Maris Internal Medicine LLC located?

Stella Maris Internal Medicine LLC is located at 12855 N 40 Dr Suite 350, Saint Louis, MO 63141. The listed phone number is (314) 205-1926.

What is Stella Maris Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Stella Maris Internal Medicine LLC was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.