OrganizationActive
Mattis Road Surgery Center LLC
NPI 1720969504 · Surgery Physician · Saint Louis, MO
Mattis Road Surgery Center LLC is a Surgery Physician organization in Saint Louis, MO (NPI 1720969504).
Provider details
- NPI number
- 1720969504
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Kessler, Administrator(314) 952-8001
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
5139 Mattis Rd Ste 100
Saint Louis, MO 63128-2250
Phone: (314) 952-8001
Street-level locationGet directions
Mailing address
5139 Mattis Rd Ste 100
Saint Louis, MO 63128-2250
Registry dates
- Enumerated
- 2025-09-09
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Mattis Road Surgery Center LLC's NPI number?
- Mattis Road Surgery Center LLC's National Provider Identifier (NPI) is 1720969504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mattis Road Surgery Center LLC?
- Mattis Road Surgery Center LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mattis Road Surgery Center LLC located?
- Mattis Road Surgery Center LLC's practice location on file with NPPES is 5139 Mattis Rd Ste 100, Saint Louis, MO 63128-2250.
- What is Mattis Road Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Mattis Road Surgery Center LLC is (314) 952-8001.
- Who is the authorized official for Mattis Road Surgery Center LLC?
- The authorized official listed on Mattis Road Surgery Center LLC's NPPES record is John Kessler, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mattis Road Surgery Center LLC's NPI active?
- Yes — Mattis Road Surgery Center LLC's NPI (1720969504) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.