OrganizationActive
Internal Medicine Consultants II, LLC
NPI 1992776801 · Internal Medicine Physician · Saint Louis, MO
Provider details
- NPI number
- 1992776801
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Bosner, Delegated Official(314) 569-1090
- License
- R6A89 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
456 N New Ballas Rd
Suite 299
Saint Louis, MO 63141-6831
Phone: (314) 569-1090
Fax: (314) 569-1424
Street-level locationGet directions
Mailing address
1836 Lackland Hill Pkwy
Saint Louis, MO 63146-3572
Registry dates
- Enumerated
- 2006-01-30
- Last updated
- 2011-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.