Altea Medical Missouri LLC
NPI 1649032608 · Geriatric Medicine (Internal Medicine) Physician · Wildwood, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Altea Medical Missouri LLC is a Geriatric Medicine (Internal Medicine) Physician organization in Wildwood, MO (NPI 1649032608).
Provider details
- NPI number
- 1649032608
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Krueger, Vp of Revenue Cycle and Contracting(888) 408-7008
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2024-01-25
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Frequently asked questions
- What is Altea Medical Missouri LLC's NPI number?
- Altea Medical Missouri LLC's National Provider Identifier (NPI) is 1649032608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Altea Medical Missouri LLC?
- Altea Medical Missouri LLC is classified in the NPPES registry as Geriatric Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Altea Medical Missouri LLC located?
- Altea Medical Missouri LLC's practice location on file with NPPES is 1441 Charic Dr, Wildwood, MO 63021-2001.
- What is Altea Medical Missouri LLC's phone number?
- The practice phone number listed in the NPPES registry for Altea Medical Missouri LLC is (888) 408-7008.
- Does Altea Medical Missouri LLC accept Medicare?
- Altea Medical Missouri 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 Altea Medical Missouri LLC?
- The authorized official listed on Altea Medical Missouri LLC's NPPES record is Lisa Krueger, Vp of Revenue Cycle and Contracting. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Altea Medical Missouri LLC's NPI active?
- Yes — Altea Medical Missouri LLC's NPI (1649032608) is active in the NPPES registry as of the last update on 2025-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.