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LIFE LINE SURGICAL SERVICES LLC
NPI 1851629356
Surgery in Saint Louis, MO

Active since November 23, 2009
10004 KENNERLY RD, SUITE 330-A, SAINT LOUIS, MO 63128(314) 718-9947(314) 718-9947 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Life Line Surgical Services Llc NPPES

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

LIFE LINE SURGICAL SERVICES LLC (NPI 1851629356) is a healthcare organization registered as a surgery in Saint Louis, Missouri and active in the NPI registry since November 2009. The organization lists Della Aridge, Nurse/manager, as its authorized official.

NPPES Registry Identity

NPI1851629356
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameLIFE LINE SURGICAL SERVICES LLC
Location Address10004 KENNERLY RD, SUITE 330-ASaint Louis, MO 63128-2141
Mailing Address10004 Kennerly Rd, Suite 330-aSaint Louis, MO 63128-2141 · (314) 718-9947 · Fax (314) 718-9947
Phone(314) 718-9947
Fax(314) 718-9947
Organization SubpartNo
Authorized OfficialDella AridgeNurse/manager · (314) 591-1125
Enumeration DateNovember 23, 2009
Last NPPES UpdateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1851629356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · 33400
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10004 KENNERLY RD, Saint Louis, MO 63128
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Other Identifiers 2

Other16010260MO · Cpin
Other1407950017MO · Individual Npi

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.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)

Life Line Surgical Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Life Line Surgical Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Della Aridge, RN, MSN, NP
Nurse Practitioner
NPI 1497837959
10004 KENNERLY RD SUITE 330 A
Saint Louis, MO 63128
(314) 543-5963
✔ PECOS✔ Accepts Medicare0.1 mi
Paul Garvin, MD
General Surgery
NPI 1407950017
10004 KENNERLY RD STE 330A
Saint Louis, MO 63128
(314) 543-5963
✔ PECOS✔ Accepts Medicare0.1 mi

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 Life Line Surgical Services LLC's NPI number?

The NPI number for Life Line Surgical Services LLC is 1851629356. It was assigned to this organization in the NPPES registry on November 23, 2009.

Where is Life Line Surgical Services LLC located?

Life Line Surgical Services LLC is located at 10004 Kennerly Rd Suite 330-A, Saint Louis, MO 63128. The listed phone number is (314) 718-9947.

What is Life Line Surgical Services LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Life Line Surgical Services LLC enrolled in Medicare?

Yes. Life Line Surgical Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Line Surgical Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Life Line Surgical Services LLC, in General Surgery and Nurse Practitioner. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Life Line Surgical Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Life Line Surgical Services 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 Life Line Surgical Services LLC was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.