ST LOUIS KIDNEY CARE LLC
NPI 1780058727
Internal Medicine - Nephrology in Florissant, MO

Q: What is St Louis Kidney Care LLC's NPI number?

The NPI number for St Louis Kidney Care LLC is 1780058727. It was assigned to this organization in the NPPES registry on November 13, 2015.

Q: What is St Louis Kidney Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since November 13, 2015

1265 GRAHAM RD STE 1, FLORISSANT, MO 63031(314) 741-1600(314) 741-1677 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2024, Feb 28, 2023, Apr 3, 2020 and 3 more (6 updates tracked since 2015).

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About St Louis Kidney Care Llc NPPES

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

ST LOUIS KIDNEY CARE LLC (NPI 1780058727) is a healthcare organization registered as a nephrology in Florissant, Missouri and active in the NPI registry since November 2015. The organization maintains 4 additional practice locations and lists Ryan Valle, President, as its authorized official.

NPPES Registry Identity

NPI1780058727

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameST LOUIS KIDNEY CARE LLC

Location Address1265 GRAHAM RD STE 1Florissant, MO 63031-8018

Mailing Address1265 Graham Rd Ste 1Florissant, MO 63031-8018 · (314) 741-1600 · Fax (314) 741-1677

Phone(314) 741-1600

Fax(314) 741-1677

Organization SubpartNo

Authorized OfficialRyan VallePresident · (781) 699-9362

Enumeration DateNovember 13, 2015

Last NPPES UpdateJuly 24, 20246 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1780058727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1265 GRAHAM RD STE 1, Florissant, MO 63031

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Secondary Practice Locations 4

Location 155 Nesbit Dr Ste BBonne Terre, MO 63628-1353 · Phone (636) 937-3337 · Fax (636) 931-7671

Location 22044 Madison Ave Ste 15Granite City, IL 62040-4641 · Phone (314) 741-1600 · Fax (314) 741-1677

Location 31400 US Highway 61 Ste 240AFestus, MO 63028-4141 · Phone (636) 937-3337 · Fax (636) 931-7671

Location 42 Memorial Dr Ste 201Alton, IL 62002-6723 · Phone (314) 741-1600 · Fax (314) 741-1677

Other Identifiers 2

Medicaid455247262-04915-01IL

Medicaid500035811MO

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Louis Kidney Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to St Louis Kidney Care LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.