GREAT PLAINS ENDOCRINOLOGY & DIABETES CARE LLC
NPI 1962275750
Internal Medicine - Endocrinology, Diabetes & Metabolism in Ballwin, MO
About Great Plains Endocrinology & Diabetes Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT PLAINS ENDOCRINOLOGY & DIABETES CARE LLC (NPI 1962275750) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Ballwin, Missouri and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Azra Niaz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Great Plains Endocrinology & Diabetes Care 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 Great Plains Endocrinology & Diabetes Care LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 26D2295527
Great Plains Endocrinology & Diabetes Care, LLC · Ballwin, MOFrequently 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 Great Plains Endocrinology & Diabetes Care's NPI number?
The NPI number for Great Plains Endocrinology & Diabetes Care is 1962275750. It was assigned to this organization in the NPPES registry on November 2, 2023. The provider is doing business as Great Plains Endocrinology & Diabetes Care LLC.
Where is Great Plains Endocrinology & Diabetes Care located?
Great Plains Endocrinology & Diabetes Care is located at 15421 Clayton Rd Ste 202, Ballwin, MO 63011. The listed phone number is (636) 534-1466.
What is Great Plains Endocrinology & Diabetes Care's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Great Plains Endocrinology & Diabetes Care enrolled in Medicare?
Yes. Great Plains Endocrinology & Diabetes Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Plains Endocrinology & Diabetes Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Great Plains Endocrinology & Diabetes Care. 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 Great Plains Endocrinology & Diabetes Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2295527) is associated with this NPI, valid through December 12, 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 Great Plains Endocrinology & Diabetes Care was last updated on November 30, 2023. 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.
# Great Plains Endocrinology & Diabetes Care Llc · NPI 1962275750
Endocrinology, Diabetes & Metabolism organization in Ballwin, Missouri. Organization record, active in the CMS NPPES registry since November 2, 2023.
## Identity
- **NPI:** 1962275750 (Entity type: Organization)
- **Enumerated:** November 2, 2023
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **Legal business name:** Great Plains Endocrinology & Diabetes Care
- **Organization subpart:** No
- **Authorized official:** Azra Niaz, OWNER
## Practice location
- **Address:** 15421 CLAYTON RD STE 202, Ballwin, MO 63011-3161
- **Phone:** (636) 534-1466
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Endocrinology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962275750) · Data from the CMS NPPES public registry.