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

Q: 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.

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: October 18, 2026.

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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)

Dr. M. K. Onifade Internal Medicine Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. M. K. Onifade Internal Medicine Practice LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Moyosore Onifade, M.D.

Internal Medicine

NPI 1669586954

2880 NETHERTON DR STE 200
Saint Louis, MO 63136

(636) 333-4500

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Dr. M. K. Onifade Internal Medicine Practice LLC enrolled in Medicare?

Yes. Dr. M. K. Onifade Internal Medicine Practice LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. M. K. Onifade Internal Medicine Practice LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dr. M. K. Onifade Internal Medicine Practice LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

What insurance does Dr. M. K. Onifade Internal Medicine Practice LLC accept?

Health plans from Medica list Dr. M. K. Onifade Internal Medicine Practice 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 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 2 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.