METRO ST LOUIS RENAL SERVICES, INC – Nephrology Physician, NPI 1811168263
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for METRO ST LOUIS RENAL SERVICES, INC
1234 LAY RD
SAINT LOUIS, MO 631241872
Phone: (314) 323-4492
Fax: (800) 469-1494
Type: Mailing
777 S NEW BALLAS RD STE 328W
SAINT LOUIS, MO 631418748
Phone: (314) 869-0370
Fax: (314) 869-5098
Type: Location
10160, West Florissant Avenue, Dellwood, Saint Louis County, Missouri, 63136, United States
SUITE 200
SAINT LOUIS, MO 631362104
Phone: (314) 869-0370
Fax: (314) 869-5970
Type: Location
1224 Graham Rd Ste 1111
Florissant, MO 630318028
Phone: (314) 869-0370
Fax: (314) 869-5098
Type: Location
4100 Union Blvd Unit B1
Saint Louis, MO 631151225
Phone: (314) 869-0370
Fax: (314) 869-5098
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: 2006-01-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (589 days ago).
Enrollment records
1
Earliest due date
2024-10-31
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 |
|---|---|---|---|---|
| O20060123000483 | O | Clinic/Group Practice | MO | 2024-10-31 |
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 63124)
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