Family Medicine - Slmg South, LLC
NPI 1164077822ActiveOrganization· Family Medicine· Imperial, MO
Family Medicine in Imperial, Missouri, registered in NPPES in August 2019, part of St. Lukes Medical Group. The authorized official on file is Darren R. Haskell, M.D., Chief Medical Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164077822 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St. Lukes Medical Group |
| NPI issued | Aug 8, 2019 |
| Last updated in NPPES | Mar 5, 2026 |
| Certified by provider | Mar 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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