PAVILION HEALTH COMPANY, LLC
NPI 1780280693
Durable Medical Equipment & Medical Supplies in Bridgeton, MO

Active since December 07, 2020
11520 SAINT CHARLES ROCK RD STE 105A, BRIDGETON, MO 63044(314) 312-5588 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Jun 17, 2021, Dec 31, 2020 and 1 more (4 updates tracked since 2020).

About Pavilion Health Company, Llc NPPES

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

PAVILION HEALTH COMPANY, LLC (NPI 1780280693), doing business as Pavilion Healthcare, is a healthcare organization registered as a durable medical equipment & medical supplies in Bridgeton, Missouri and active in the NPI registry since December 2020. The organization maintains a secondary practice location in Anchorage and lists Nagaraj V Kunda, Director/owner, as its authorized official.

NPPES Registry Identity

NPI1780280693
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePAVILION HEALTH COMPANY, LLC
Location Address11520 SAINT CHARLES ROCK RD STE 105ABridgeton, MO 63044-2732
Mailing Address11520 Saint Charles Rock Rd Ste 105aBridgeton, MO 63044-2732 · (314) 312-5588 · Fax (314) 377-9110
Organization SubpartNo
Authorized OfficialNagaraj V KundaDirector/owner · (314) 377-9110
Enumeration DateDecember 7, 2020
Last NPPES UpdateJanuary 22, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
NPI 1780280693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedHome HealthTaxonomy 251E00000X
11520 SAINT CHARLES ROCK RD STE 105A, Bridgeton, MO 63044

Other Names 1

Doing Business AsPavilion Healthcare

Secondary Practice Location 1

Location 12421 E Tudor Rd Ste 102Anchorage, AK 99507-1166 · Phone (314) 312-5588

Other Identifiers 1

Medicaid620112387MO

Medical Equipment Supplier Medicare DMEPOS 40

Medicare supplier enrollment and the product categories Pavilion Health Company LLC carries, from the Medicare DMEPOS supplier directory.

Pavilion Health Company LLC

DMEPOS supplier · Bridgeton, MO

Does not accept Medicare assignment

Pavilion Health Company LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20682425
Medicare Participant SinceDecember 21, 2021
Supplier Location11520 Saint Charles Rock Rd Ste 105ABridgeton, MO 63044
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other MSC With Respiratory Therapist

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

Home Health
11520 SAINT CHARLES ROCK RD STE 105A
BRIDGETON, MO 63044

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 Pavilion Health Company, LLC's NPI number?

The NPI number for Pavilion Health Company, LLC is 1780280693. It was assigned to this organization in the NPPES registry on December 7, 2020. The provider is doing business as Pavilion Healthcare.

Where is Pavilion Health Company, LLC located?

Pavilion Health Company, LLC is located at 11520 Saint Charles Rock Rd Ste 105A, Bridgeton, MO 63044. The listed phone number is (314) 312-5588.

What is Pavilion Health Company, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Pavilion Health Company, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Pavilion Health Company LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Pavilion Health Company, LLC was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.