Specialist in Aging Successfully LLC
NPI 1023572690 · Geriatric Medicine (Internal Medicine) Physician · Bridgeton, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Specialist in Aging Successfully LLC is a Geriatric Medicine (Internal Medicine) Physician organization in Bridgeton, MO (NPI 1023572690).
Provider details
- NPI number
- 1023572690
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Asif Bhutto, Member(314) 209-5100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2019-01-28
- Last updated
- 2021-03-15
- Certified
- 2021-03-15
Frequently asked questions
- What is Specialist in Aging Successfully LLC's NPI number?
- Specialist in Aging Successfully LLC's National Provider Identifier (NPI) is 1023572690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Specialist in Aging Successfully LLC?
- Specialist in Aging Successfully LLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Specialist in Aging Successfully LLC located?
- Specialist in Aging Successfully LLC's practice location on file with NPPES is 3466 Bridgeland Dr Ste 105, Bridgeton, MO 63044-2606.
- What is Specialist in Aging Successfully LLC's phone number?
- The practice phone number listed in the NPPES registry for Specialist in Aging Successfully LLC is (314) 209-5100.
- Does Specialist in Aging Successfully LLC accept Medicare?
- Specialist in Aging Successfully LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Specialist in Aging Successfully LLC?
- The authorized official listed on Specialist in Aging Successfully LLC's NPPES record is Asif Bhutto, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Specialist in Aging Successfully LLC's NPI active?
- Yes — Specialist in Aging Successfully LLC's NPI (1023572690) is active in the NPPES registry as of the last update on 2021-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.