Interfaith Residence
NPI 1164235362ActiveOrganization· Internal Medicine, Infectious Disease· Saint Louis, MO
Internal Medicine, Infectious Disease in Saint Louis, Missouri, registered in NPPES in January 2025. The authorized official on file is Opal Jones, President & Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164235362 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2025 |
| Last updated in NPPES | Dec 29, 2025 |
| Certified by provider | Dec 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Infectious Disease Primary | 207RI0200X | — | — |
| Clinic/Center, Community Health | 261QC1500X | — | — |
| Nurse Practitioner, Primary Care | 363LP2300X | — | — |
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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