MODERN MEDICAL GROUP INC
NPI 1811752900
Clinic/Center - Multi-Specialty in Saint Louis, MO
About Modern Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODERN MEDICAL GROUP INC (NPI 1811752900) is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since February 2024. The organization lists Jesse Wolfe, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Modern Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Modern Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Modern Medical Group Inc's NPI number?
The NPI number for Modern Medical Group Inc is 1811752900. It was assigned to this organization in the NPPES registry on February 16, 2024.
Where is Modern Medical Group Inc located?
Modern Medical Group Inc is located at 5139 Mattis Rd Ste 102, Saint Louis, MO 63128. The listed phone number is (314) 396-9517.
What is Modern Medical Group Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Modern Medical Group Inc enrolled in Medicare?
Yes. Modern Medical Group Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Modern Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Modern Medical Group Inc, in General Surgery, Nurse Practitioner and Podiatry. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Modern Medical Group Inc was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Modern Medical Group Inc · NPI 1811752900
Multi-Specialty organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since February 16, 2024.
## Identity
- **NPI:** 1811752900 (Entity type: Organization)
- **Enumerated:** February 16, 2024
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Jesse Wolfe, OWNER
## Practice location
- **Address:** 5139 MATTIS RD STE 102, Saint Louis, MO 63128-2250
- **Phone:** (314) 396-9517
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (1), Nurse Practitioner (1), Podiatry (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811752900) · Data from the CMS NPPES public registry.