St Louis Kidney, LLC
NPI 1730593757 · Nephrology Physician · Creve Coeur, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Louis Kidney, LLC is a Nephrology Physician organization in Creve Coeur, MO (NPI 1730593757).
Provider details
- NPI number
- 1730593757
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derek Larson, Owner(314) 548-0265
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-06-18
- Last updated
- 2025-09-30
- Certified
- 2025-09-30
Frequently asked questions
- What is St Louis Kidney, LLC's NPI number?
- St Louis Kidney, LLC's National Provider Identifier (NPI) is 1730593757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Louis Kidney, LLC?
- St Louis Kidney, LLC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is St Louis Kidney, LLC located?
- St Louis Kidney, LLC's practice location on file with NPPES is 456 N New Ballas Rd Ste 348, Creve Coeur, MO 63141-6846.
- What is St Louis Kidney, LLC's phone number?
- The practice phone number listed in the NPPES registry for St Louis Kidney, LLC is (314) 548-0265.
- Does St Louis Kidney, LLC accept Medicare?
- St Louis Kidney, 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 St Louis Kidney, LLC?
- The authorized official listed on St Louis Kidney, LLC's NPPES record is Derek Larson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Louis Kidney, LLC's NPI active?
- Yes — St Louis Kidney, LLC's NPI (1730593757) is active in the NPPES registry as of the last update on 2025-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.