Life Line Surgical Services LLC
NPI 1851629356 · Surgery Physician · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Life Line Surgical Services LLC is a Surgery Physician organization in Saint Louis, MO (NPI 1851629356).
Provider details
- NPI number
- 1851629356
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Della Aridge, Nurse/Manager(314) 591-1125
- License
- 33400 (MO)
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
16 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
- 2009-11-23
- Last updated
- 2023-02-07
- Certified
- 2023-02-07
Frequently asked questions
- What is Life Line Surgical Services LLC's NPI number?
- Life Line Surgical Services LLC's National Provider Identifier (NPI) is 1851629356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Life Line Surgical Services LLC?
- Life Line Surgical Services LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Life Line Surgical Services LLC located?
- Life Line Surgical Services LLC's practice location on file with NPPES is 10004 Kennerly Rd, Saint Louis, MO 63128-2141.
- What is Life Line Surgical Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Life Line Surgical Services LLC is (314) 718-9947.
- Does Life Line Surgical Services LLC accept Medicare?
- Life Line Surgical Services 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 Life Line Surgical Services LLC?
- The authorized official listed on Life Line Surgical Services LLC's NPPES record is Della Aridge, Nurse/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Life Line Surgical Services LLC's NPI active?
- Yes — Life Line Surgical Services LLC's NPI (1851629356) is active in the NPPES registry as of the last update on 2023-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.