OrganizationActive
Gateway Direct Primary Care Jv LLC
NPI 1548893530 · Family Medicine Physician · Creve Coeur, MO
Provider details
- NPI number
- 1548893530
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
11770 Olive Blvd
Creve Coeur, MO 63141-7053
Phone: (866) 808-6005
Street-level locationGet directions
Mailing address
1400 Wewatta St Ste 350
Denver, CO 80202-5553
Other names (DBA / former)
- Doing business as
- Gateway Direct Primary Care
- Doing business as
- Gateway Direct Primary Care
Registry dates
- Enumerated
- 2020-02-18
- Last updated
- 2022-07-28
- Certified
- 2022-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.