Interfaith Residence
NPI 1164235362 · Infectious Disease Physician · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Interfaith Residence is a Infectious Disease Physician organization in Saint Louis, MO (NPI 1164235362).
Provider details
- NPI number
- 1164235362
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Opal Jones, President & Ceo(314) 535-1919
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Other names (DBA / former)
- Doing business as
- Key Clinic
Registry dates
- Enumerated
- 2025-01-30
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Frequently asked questions
- What is Interfaith Residence's NPI number?
- Interfaith Residence's National Provider Identifier (NPI) is 1164235362, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Interfaith Residence?
- Interfaith Residence is classified in the NPPES registry as Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Interfaith Residence located?
- Interfaith Residence's practice location on file with NPPES is 1101 N Jefferson Ave, Saint Louis, MO 63106-2222.
- What is Interfaith Residence's phone number?
- The practice phone number listed in the NPPES registry for Interfaith Residence is (314) 535-1919.
- Does Interfaith Residence accept Medicare?
- Interfaith Residence 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 Interfaith Residence?
- The authorized official listed on Interfaith Residence's NPPES record is Opal Jones, President & Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Interfaith Residence's NPI active?
- Yes — Interfaith Residence's NPI (1164235362) is active in the NPPES registry as of the last update on 2025-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.