OrganizationActive
St Louis University
NPI 1013980366 · Internal Medicine Physician · St Louis, MO
Provider details
- NPI number
- 1013980366
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alyce Lanxon, Executive Director(314) 977-6828
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nuclear Radiology Physician2085N0904X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1225 South Grand
2l, Door 3,4
St Louis, MO 63104
Phone: (314) 977-6164
Street-level locationGet directions
Mailing address
3545 Lindell Blvd Fl 3
Saint Louis, MO 63103-1020
Other names (DBA / former)
- Doing business as
- Slucare Department of Internal Medicine
- Doing business as
- Slucare Department of Internal Medicine
Additional practice locations (1)
- 3660 Vista AveSt Louis, MO 63110Phone: (314) 977-6828Fax: (314) 268-5108
Registry dates
- Enumerated
- 2006-02-08
- Last updated
- 2021-09-21
- Certified
- 2021-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.