Urology of St. Louis, Inc.
NPI 1417817610ActiveOrganization· Specialist· Saint Peters, MO
Specialist in Saint Peters, Missouri, registered in NPPES in November 2025, part of Urology of St. Louis, Inc. The authorized official on file is Angie Smith, Credentialing Manager. Enrolled in Medicare as dme supplier - multi-specialty - physician.
Overview
| NPI | 1417817610 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Urology of St. Louis, Inc. |
| NPI issued | Nov 12, 2025 |
| Last updated in NPPES | Nov 12, 2025 |
| Certified by provider | Nov 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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 DME Supplier - Multi-Specialty - Physician (MO) |
|---|
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