Specialty & Primary Care LLC
NPI 1104954692 · Gastroenterology Physician · Saint Louis, MO
Specialty & Primary Care LLC is a Gastroenterology Physician organization in Saint Louis, MO (NPI 1104954692).
Provider details
- NPI number
- 1104954692
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nayyer Ibrahim, Administrator(314) 432-5144
- License
- 109425 (MO)
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
19 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
- 2007-02-28
- Last updated
- 2009-03-17
Frequently asked questions
- What is Specialty & Primary Care LLC's NPI number?
- Specialty & Primary Care LLC's National Provider Identifier (NPI) is 1104954692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Specialty & Primary Care LLC?
- Specialty & Primary Care LLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Specialty & Primary Care LLC located?
- Specialty & Primary Care LLC's practice location on file with NPPES is 3009 N Ballas Rd, Saint Louis, MO 63131-2322.
- What is Specialty & Primary Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Specialty & Primary Care LLC is (314) 432-5144.
- Who is the authorized official for Specialty & Primary Care LLC?
- The authorized official listed on Specialty & Primary Care LLC's NPPES record is Nayyer Ibrahim, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Specialty & Primary Care LLC's NPI active?
- Yes — Specialty & Primary Care LLC's NPI (1104954692) is active in the NPPES registry as of the last update on 2009-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.