METRO MEDICAL CLINIC, LLC
NPI 1922585389
Family Medicine - Adult Medicine in Saint Louis, MO

Q: What is Metro Medical Clinic, LLC's NPI number?

The NPI number for Metro Medical Clinic, LLC is 1922585389. It was assigned to this organization in the NPPES registry on July 27, 2018.

Q: What is Metro Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Active since July 27, 2018

5000 CEDAR PLAZA PKWY STE 300, SAINT LOUIS, MO 63128(314) 647-9797 Get Directions Write a Review

NPPES record last updated: October 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2018, Jul 27, 2018 (2 updates tracked since 2018).

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About Metro Medical Clinic, Llc NPPES

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

METRO MEDICAL CLINIC, LLC (NPI 1922585389) is a healthcare organization registered as an adult medicine in Saint Louis, Missouri and active in the NPI registry since July 2018. The organization lists Jawed H Siddiqui, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1922585389

Entity TypeOrganization

Primary Taxonomy207QA0505X

Legal Business NameMETRO MEDICAL CLINIC, LLC

Location Address5000 CEDAR PLAZA PKWY STE 300Saint Louis, MO 63128-3891

Mailing Address11115 New Halls Ferry RdFlorissant, MO 63033-7613 · (314) 921-6200 · Fax (314) 830-0756

Phone(314) 647-9797

Organization SubpartNo

Authorized OfficialJawed H SiddiquiMedical Doctor · (314) 921-6200

Enumeration DateJuly 27, 2018

Last NPPES UpdateOctober 20, 20182 updates tracked since enumeration

✔ NPI 1922585389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in MO · R6047

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License R6047 (MO)

5000 CEDAR PLAZA PKWY STE 300, Saint Louis, MO 63128

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Other Names 1

Doing Business AsMetro Medical Clinic, Llc

Other Identifiers 1

Medicaid200668739MO

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

Other Providers at the Same Location NPPES 11

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

ST. LOUIS INTERNAL MEDICINE INC

Internal Medicine