Mid West Clinical Practice LLC
NPI 1396455150 · Internal Medicine Physician · Chesterfield, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mid West Clinical Practice LLC is a Internal Medicine Physician organization in Chesterfield, MO (NPI 1396455150).
Provider details
- NPI number
- 1396455150
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Manirul Tamal, Owner(917) 500-3356
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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)
- 728 Forest Trace DrChesterfield, MO 63017-1742Phone: (347) 285-0627
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2025-06-06
- Certified
- 2025-06-06
Frequently asked questions
- What is Mid West Clinical Practice LLC's NPI number?
- Mid West Clinical Practice LLC's National Provider Identifier (NPI) is 1396455150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid West Clinical Practice LLC?
- Mid West Clinical Practice LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mid West Clinical Practice LLC located?
- Mid West Clinical Practice LLC's practice location on file with NPPES is 15345 Schoettler Estates Dr, Chesterfield, MO 63017-5461.
- What is Mid West Clinical Practice LLC's phone number?
- The practice phone number listed in the NPPES registry for Mid West Clinical Practice LLC is (917) 500-3356.
- Does Mid West Clinical Practice LLC accept Medicare?
- Mid West Clinical Practice 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 Mid West Clinical Practice LLC?
- The authorized official listed on Mid West Clinical Practice LLC's NPPES record is Manirul Tamal, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid West Clinical Practice LLC's NPI active?
- Yes — Mid West Clinical Practice LLC's NPI (1396455150) is active in the NPPES registry as of the last update on 2025-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.