Washington University, Dept of Emergency Medicine – Emergency Care Clinic/Center, NPI 1104866656
Emergency Care Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Washington University, Dept of Emergency Medicine
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 273-0770
Type: Mailing
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
SAINT LOUIS, MO 631101010
Phone: (314) 747-4873
Fax: (314) 747-4876
Type: Location
7425, Forsyth Boulevard, Clayton, Saint Louis County, Missouri, 63105, United States
CAMPUS BOX 8221
SAINT LOUIS, MO 631052171
Phone: (314) 935-0770
Fax: (314) 935-0575
Type: Mailing
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: 2004-02-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-12-31 (159 days ago).
Enrollment records
1
Earliest due date
2025-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040205000494 | O | Clinic/Group Practice | MO | 2025-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 60674)
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