Family Medicine - Slmg South, LLC
NPI 1164077822 · Family Medicine Physician · Imperial, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Family Medicine - Slmg South, LLC is a Family Medicine Physician organization in Imperial, MO (NPI 1164077822).
Provider details
- NPI number
- 1164077822
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- St. Lukes Medical Group
- Organization subpart
- Yes
- Authorized official
- Darren Haskell, Chief Medical Officer(314) 205-6444
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
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
Mailing address
Additional practice locations (1)
- 103 Hilltop Village Shopping Center Dr.Eureka, MO 63025Phone: (636) 587-6350Fax: (636) 529-0699
Registry dates
- Enumerated
- 2019-08-08
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Frequently asked questions
- What is Family Medicine - Slmg South, LLC's NPI number?
- Family Medicine - Slmg South, LLC's National Provider Identifier (NPI) is 1164077822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Medicine - Slmg South, LLC?
- Family Medicine - Slmg South, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Family Medicine - Slmg South, LLC located?
- Family Medicine - Slmg South, LLC's practice location on file with NPPES is 1501 Professional Dr, Imperial, MO 63052-3809.
- What is Family Medicine - Slmg South, LLC's phone number?
- The practice phone number listed in the NPPES registry for Family Medicine - Slmg South, LLC is (636) 464-4000.
- Does Family Medicine - Slmg South, LLC accept Medicare?
- Family Medicine - Slmg South, 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 Family Medicine - Slmg South, LLC?
- The authorized official listed on Family Medicine - Slmg South, LLC's NPPES record is Darren Haskell, Chief Medical Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Medicine - Slmg South, LLC's NPI active?
- Yes — Family Medicine - Slmg South, LLC's NPI (1164077822) is active in the NPPES registry as of the last update on 2026-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.