Kenneth Gerdes , LLC
Kenneth Gerdes , LLC is a healthcare organization registered as Specialist in Saint Louis, MO, holding Type 2 (organization) NPI 1679514095 since 2006. The authorized official on file is Jacki Jordan, Billing Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679514095 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kenneth Gerdes , LLC |
| Practice address | 11155 DUNN RD, SUITE 211N, Saint Louis, MO, 63136 |
| Phone | 3144322580 |
| Fax | 3149918960 |
| Enumeration date | 2006-06-09 |
| Last updated in NPPES | 2024-12-10 |
Authorized official
| Name | Jacki Jordan |
|---|---|
| Title | Billing Manager |
| Phone | 3144322580 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | 117124 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500745609 | Medicaid | MO | — |
| DE2084 | Other | MO | RR MCR GROUP PROV# |
Copy-ready billing details
Provider: Kenneth Gerdes , LLC NPI: 1679514095 Taxonomy: 174400000X (Specialist) Address: 11155 DUNN RD, SUITE 211N, Saint Louis, MO, 63136
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871585356 | Salvador Lobianco | Individual | Critical Care Medicine (Internal Medicine) Physician | Saint Louis, MO |
| 1871586156 | Praveena Uppal | Individual | Pulmonary Disease Physician | Saint Louis, MO |
| 1669454500 | David Shaw | Individual | Internal Medicine Physician | Saint Louis, MO |
| 1891779062 | Sanjaya Saheta | Individual | Interventional Cardiology Physician | Saint Louis, MO |
| 1114903507 | George Kichura | Individual | Interventional Cardiology Physician | Saint Louis, MO |
| 1417934894 | Carlos Yu | Individual | Neurology Physician | Saint Louis, MO |
| 1952373425 | Joshua Jensen | Individual | Surgery Physician | Saint Louis, MO |
| 1548235666 | Subash Joshi | Individual | Specialist | Saint Louis, MO |
Verify this record
Cross-check NPI 1679514095 against the authoritative CMS record: view Kenneth Gerdes , LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Kenneth Gerdes , LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-12-10.