LOUIS RICHARD FELDENBERG (M.D.) – Pediatric Nephrology Physician, NPI 1295702314

LOUIS RICHARD FELDENBERG (M.D.) is a healthcare provider. based in St. louis, Missouri. specializing in NEPHROLOGY, PEDIATRIC MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 2006020968 (MO). The NPI Number for LOUIS RICHARD FELDENBERG (M.D.) is 1295702314

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
LOUIS RICHARD FELDENBERG (M.D.)
NPI
1295702314
Phone
(314) 977-6828
Address
3691 RUTGER AVE
Enumeration Date
7 March 2006
Last Update Date
26 August 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
9012877337
Graduation Year
1992 (34 years ago)
PAC ID
4385646934
Group Practice PAC ID
7719173939
Professional Enrollment ID
I20250304002497
Address ID
TN381054625ME51XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

319 NEPHROLOGY in MO

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Provider Addresses for LOUIS RICHARD FELDENBERG (M.D.)

  • 3691 RUTGER AVE

    ST. LOUIS, MO 631102515

    Phone: (314) 977-6828

    Fax: (314) 977-6872

    Type: Mailing

  • SSM Health Cardinal Glennon Children’s Hospital, 1465, South Grand Boulevard, Tiffany, City of Saint Louis, Missouri, 63104, United States

    SAINT LOUIS, MO 631041003

    Phone: (314) 268-4101

    Fax: (314) 577-5379

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070209000591INephrologyMOTBD
I20250304002497INephrologyTNTBD
I20251002000840IPediatric MedicineNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719173939View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMS
Cardiovascular Disease (Cardiology), Interventional Cardiology, Pediatric Medicine, Cardiovascular Disease (Cardiology), Interventional CardiologyTN
-TN
-TN
-TN
-TN
Diagnostic RadiologyTN
Nephrology, Pediatric Medicine, Nephrology, Pediatric MedicineTX
Internal Medicine, Nephrology, Pediatric Medicine, NephrologyTN
Pediatric Medicine, NephrologyTX

Reviews

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Frequently asked questions

What unique ID ties claims to LOUIS RICHARD FELDENBERG (M.D.)?
NPI 1295702314 is assigned to LOUIS RICHARD FELDENBERG (M.D.) under the national enumeration system.
Is LOUIS RICHARD FELDENBERG (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does LOUIS RICHARD FELDENBERG (M.D.) treat or focus on?
Patients typically see LOUIS RICHARD FELDENBERG (M.D.) under the specialty Pediatric Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where is LOUIS RICHARD FELDENBERG (M.D.)'s primary listing?
We display St. Louis, Missouri because that is what the record indicates for LOUIS RICHARD FELDENBERG (M.D.).
Is LOUIS RICHARD FELDENBERG (M.D.) a real provider?
This page reflects official NPPES data for NPI 1295702314. Always confirm identity and privileges with the practice and licensing boards.

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