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DR. JULIE ANN NEIDICH MD
NPI 1962690180
Pathology - Molecular Genetic Pathology in Saint Louis, MO

Active since October 12, 2007PECOS Enrolled
4320 FOREST PARK AVE, DIV PA, GENOMIC AND MOLECULAR PATHOLOGY, STE 209, SAINT LOUIS, MO 63108(314) 362-5641(314) 362-0369 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Julie Ann Neidich Md NPPES

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

DR. JULIE ANN NEIDICH MD (NPI 1962690180) is an individual molecular genetic pathology provider in Saint Louis, Missouri, licensed in Missouri (2017022702) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962690180
Entity TypeIndividualFemale
Primary Taxonomy207ZP0007X
Provider Legal NameDR. JULIE ANN NEIDICHCredential: MD
Location Address4320 FOREST PARK AVE, DIV PA, GENOMIC AND MOLECULAR PATHOLOGY, STE 209Saint Louis, MO 63108-2979
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-5641 · Fax (314) 362-0369
Phone(314) 362-5641
Fax(314) 362-0369
Sole ProprietorNo
Enumeration DateOctober 12, 2007
Last NPPES UpdateApril 17, 20255 updates tracked since enumeration
✔ NPI 1962690180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Molecular Genetic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0007X
License✔ Licensed in MO · 2017022702
Definition
A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.
4320 FOREST PARK AVE, Saint Louis, MO 63108
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Other Identifiers 1

Medicaid200090687MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Julie Ann Neidich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Julie Neidich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Washington University
0.6 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 77 clinicians in this Medicare group
NPI 1316987746 (314) 362-5641

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. KEVIN L KONZEN MD
Internal Medicine
4320 FOREST PARK AVE, STE 1100
SAINT LOUIS, MO 63108
St. Louis City (314) 333-4100
WASHINGTON UNIVERSITY
Clinical Medical Laboratory
4320 FOREST PARK AVE, SUITE 209
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5641
DR. LULU SUN MD
Pathology (Molecular Genetic Pathology)
4320 FOREST PARK AVE, DIV PA, GENOMIC AND MOLECULAR PATHOLOGY, STE 209
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5641
DR. LINDSEY MARIE VALDIVIEZ DO
Internal Medicine
4320 FOREST PARK AVE, STE 1100
SAINT LOUIS, MO 63108
St. Louis City (314) 333-4100
DR. JONATHAN NICHOLAS BYRD MD
Internal Medicine
4320 FOREST PARK AVE, STE 1100
SAINT LOUIS, MO 63108
St. Louis City (314) 333-4100
DR. LEIGH ANNE COMPTON MD PHD
Pathology (Anatomic Pathology & Clinical Pathology)
4320 FOREST PARK AVE, DIV PA DERMATOPATHOLOGY, STE 212
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5641
MS. CHRISTINE ELIZABETH JOHNSON ANP
Nurse Practitioner
4320 FOREST PARK AVE, STE 1100
SAINT LOUIS, MO 63108
St. Louis City (314) 333-4100
DR. BIJAL ANIL PARIKH MD
Pathology (Clinical Pathology/Laboratory Medicine)
4320 FOREST PARK AVE, DIV PA, GENOMIC AND MOLECULAR PATHOLOGY, STE 209
SAINT LOUIS, MO 63108
St. Louis City (314) 362-5641

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 Julie Neidich's NPI number?

The NPI number for Julie Neidich is 1962690180. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is Julie Neidich located?

Julie Neidich practices at 4320 Forest Park Ave Div PA, Genomic And Molecular Pathology, Ste 209, Saint Louis, MO 63108. The listed phone number is (314) 362-5641.

What is Julie Neidich's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Molecular Genetic Pathology, with taxonomy code 207ZP0007X.

Is Julie Neidich enrolled in Medicare?

Yes. Julie Neidich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Julie Neidich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Neidich reassigns Medicare benefits to Washington University (Saint Louis, MO). The 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 Julie Neidich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Julie Neidich was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.