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DR. M. K. ONIFADE INTERNAL MEDICINE PRACTICE LLC
NPI 1932315942
Internal Medicine in Saint Louis, MO

Active since May 15, 2007CLIA 26D1037057 · Waiver
2880 NETHERTON DR STE 200, SAINT LOUIS, MO 63136(314) 355-5300(314) 521-4656 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2024, Mar 5, 2018 (2 updates tracked since 2018).

About Dr. M. K. Onifade Internal Medicine Practice Llc NPPES

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

DR. M. K. ONIFADE INTERNAL MEDICINE PRACTICE LLC (NPI 1932315942) is a healthcare organization registered as an internal medicine in Saint Louis, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Moyosore Kikelomo Onifade, Manager, as its authorized official.

NPPES Registry Identity

NPI1932315942
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDR. M. K. ONIFADE INTERNAL MEDICINE PRACTICE LLC
Location Address2880 NETHERTON DR STE 200Saint Louis, MO 63136-4697
Mailing Address2880 Netherton Dr Ste 200Saint Louis, MO 63136-4697 · (314) 355-5300 · Fax (314) 521-4656
Phone(314) 355-5300
Fax(314) 521-4656
Organization SubpartNo
Authorized OfficialMoyosore Kikelomo OnifadeManager · (314) 355-5300
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1932315942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2002019255
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2880 NETHERTON DR STE 200, Saint Louis, MO 63136
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Other Identifiers 1

Medicaid208818716MO

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1037057

Dr M K Onifade Internal Medicine Practice LLC · Saint Louis, MO
Active · expires Feb 14, 2027
CLIA Number26D1037057
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorMoyosore K. Onifade
Laboratory Phone(314) 355-5300
Laboratory LocationDr M K Onifade Internal Medicine Practice LLC2880 Netherton Dr, Ste 200, Saint Louis, MO 63136
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MCPHERSON MEDICAL & DIAGNOSTIC LLC
Clinic/Center
2880 NETHERTON DR STE 200
SAINT LOUIS, MO 63136
St. Louis County (314) 355-5300
BAHM FAMILY MEDICINE LLC
Family Medicine
2880 NETHERTON DR STE 200
SAINT LOUIS, MO 63136
St. Louis County (314) 355-5300
DR. MOYOSORE KIKELOMO ONIFADE M.D.
Internal Medicine
2880 NETHERTON DR STE 200
SAINT LOUIS, MO 63136
St. Louis County (636) 333-4500

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 Dr. M. K. Onifade Internal Medicine Practice LLC's NPI number?

The NPI number for Dr. M. K. Onifade Internal Medicine Practice LLC is 1932315942. It was assigned to this organization in the NPPES registry on May 15, 2007.

Where is Dr. M. K. Onifade Internal Medicine Practice LLC located?

Dr. M. K. Onifade Internal Medicine Practice LLC is located at 2880 Netherton Dr Ste 200, Saint Louis, MO 63136. The listed phone number is (314) 355-5300.

What is Dr. M. K. Onifade Internal Medicine Practice LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Dr. M. K. Onifade Internal Medicine Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1037057) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr. M. K. Onifade Internal Medicine Practice LLC was last updated on October 21, 2024. 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.