St Louis Kidney, LLC
NPI 1730593757ActiveOrganization· Internal Medicine, Nephrology· Creve Coeur, MO
Internal Medicine, Nephrology in Creve Coeur, Missouri, registered in NPPES in June 2014. The authorized official on file is Derek Sloan Larson, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730593757 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2014 |
| Last updated in NPPES | Sep 30, 2025 |
| Certified by provider | Sep 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
Other nephrologists in Creve Coeur
- 1346330081
- 1568433902
- 1588820096
- 1881960938
- 1932196854
- 1770554842