Modern Medical Group Inc
NPI 1811752900 · Multi-Specialty Clinic/Center · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Medical Group Inc is a Multi-Specialty Clinic/Center organization in Saint Louis, MO (NPI 1811752900).
Provider details
- NPI number
- 1811752900
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jesse Wolfe, Owner(314) 396-9517
Specialties & taxonomies
Ambulatory Health Care Facilities
- Podiatric Clinic/Center261QP1100X
Ambulatory Health Care Facilities
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
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
- 2024-02-16
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Frequently asked questions
- What is Modern Medical Group Inc's NPI number?
- Modern Medical Group Inc's National Provider Identifier (NPI) is 1811752900, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Medical Group Inc?
- Modern Medical Group Inc is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Modern Medical Group Inc located?
- Modern Medical Group Inc's practice location on file with NPPES is 5139 Mattis Rd Ste 102, Saint Louis, MO 63128-2250.
- What is Modern Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Modern Medical Group Inc is (314) 396-9517.
- Does Modern Medical Group Inc accept Medicare?
- Modern Medical Group Inc 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 Modern Medical Group Inc?
- The authorized official listed on Modern Medical Group Inc's NPPES record is Jesse Wolfe, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Medical Group Inc's NPI active?
- Yes — Modern Medical Group Inc's NPI (1811752900) is active in the NPPES registry as of the last update on 2025-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.