MERCY CLINIC ADULT CRITICAL CARE, LLC
NPI 1730119421
Internal Medicine - Critical Care Medicine in Saint Louis, MO

Active since July 05, 2006
621 S NEW BALLAS RD, SUITE 4006-B, SAINT LOUIS, MO 63141(314) 251-6486(314) 251-4155 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mercy Clinic Adult Critical Care, Llc NPPES

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

MERCY CLINIC ADULT CRITICAL CARE, LLC (NPI 1730119421), doing business as St. John's Mercy Adult Critical Care, is a healthcare organization registered as a critical care medicine in Saint Louis, Missouri and active in the NPI registry since July 2006. The organization maintains 2 additional practice locations and lists Kerry Dunger, Executive Director - Finance, as its authorized official.

NPPES Registry Identity

NPI1730119421
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameMERCY CLINIC ADULT CRITICAL CARE, LLC
Location Address621 S NEW BALLAS RD, SUITE 4006-BSaint Louis, MO 63141-8232
Mailing Address615 S New Ballas RdSaint Louis, MO 63141-8221 · (314) 251-6486 · Fax (314) 251-4155
Fax(314) 251-4155
Organization SubpartYesParent: Mercy Hospitals East Communities
Authorized OfficialKerry DungerExecutive Director - Finance · (314) 364-3707
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1730119421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
621 S NEW BALLAS RD, Saint Louis, MO 63141

Other Names 1

Former Legal Business NameSt. John's Mercy Adult Critical Care

Secondary Practice Locations 2

Location 1901 E 5th StWashington, MO 63090-3127 · Phone (636) 239-8245 · Fax (636) 390-7285
Location 21400 US Highway 61Festus, MO 63028-4100 · Phone (636) 933-5337 · Fax (636) 933-8090

Other Identifiers 1

Medicaid505997106MO

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercy Clinic Adult Critical Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20050808000024Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

77

Medicare enrollment records show 77 clinicians reassign Medicare billing to Mercy Clinic Adult Critical Care, LLC, which bills Medicare for the services they deliver. Of these, 15 practice at this address and 42 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner26
Critical Care (Intensivists)24
Internal Medicine17
Pulmonary Disease4
General Surgery2
Hospitalist2
Emergency Medicine1
Obstetrics/Gynecology1

Nearest to this location (20)

See all 77
Internal Medicine
NPI 1154334860
621 S NEW BALLAS RD SUITE 4006 CRITICAL CARE
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821614561
621 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-7702
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1104023886
621 S NEW BALLAS RD STE 560A
Saint Louis, MO 63141
(314) 251-6440
✔ PECOSSame address
Nurse Practitioner
NPI 1346415718
621 S NEW BALLAS RD STE 228A
Saint Louis, MO 63141
(314) 251-4966
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1144337411
621 S NEW BALLAS RD SUITE 4006-B
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1750591053
621 S NEW BALLAS RD
Creve Coeur, MO 63141
(314) 251-5834
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376097469
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1275741340
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982378170
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1427435221
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679330419
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6000
✔ PECOSSame address
Critical Care (Intensivists)
NPI 1063642783
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1386873883
625 S NEW BALLAS RD STE 7020
Saint Louis, MO 63141
(314) 251-1448
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1962797126
625 S NEW BALLAS RD STE 7020
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1285846576
625 S NEW BALLAS RD STE 7020
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154654416
605 OLD BALLAS RD STE 200
St. Louis, MO 63141
(314) 872-8740
✔ PECOS✔ Accepts Medicare0.3 mi
Internal Medicine
NPI 1598324915
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts Medicare1.5 mi
Critical Care (Intensivists)
NPI 1386678670
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6486
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1841434578
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 518-5072
✔ PECOS✔ Accepts Medicare1.5 mi
Obstetrics/Gynecology
NPI 1811139330
621 S NEW BALLAS RD STE 2007B
Saint Louis, MO 63141
(314) 991-5000
✔ PECOS✔ Accepts Medicare1.5 mi
See all 77 clinicians

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 Mercy Clinic Adult Critical Care, LLC's NPI number?

The NPI number for Mercy Clinic Adult Critical Care, LLC is 1730119421. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider was formerly known as St. John's Mercy Adult Critical Care.

Where is Mercy Clinic Adult Critical Care, LLC located?

Mercy Clinic Adult Critical Care, LLC is located at 621 S New Ballas Rd Suite 4006-B, Saint Louis, MO 63141. The listed phone number is (314) 251-6486.

What is Mercy Clinic Adult Critical Care, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Mercy Clinic Adult Critical Care, LLC enrolled in Medicare?

Yes. Mercy Clinic Adult Critical Care, LLC is registered in the Medicare PECOS enrollment system.

When is Mercy Clinic Adult Critical Care, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mercy Clinic Adult Critical Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 77 clinicians in 8 Medicare specialties reassign their Medicare billing to Mercy Clinic Adult Critical Care, 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 Nurse Practitioner (26), Critical Care (Intensivists) (24) and Internal Medicine (17). Of these, 15 practice at this address and 42 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mercy Clinic Adult Critical Care, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Mercy Clinic Adult Critical Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mercy Clinic Adult Critical Care, 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.