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St Louis Kidney, LLC

Nephrology Physician in Creve Coeur, MO · enumerated 2014 · authorized official Derek Larson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730593757

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Registry record

Entity type Organization (Type 2)
Legal business name St Louis Kidney, LLC
Practice address 456 N New Ballas Rd Ste 348, Creve Coeur, MO, 63141
Fax (314) 548-6555
Enumeration date Jun 18, 2014
Last updated in NPPES Sep 30, 2025

Taxonomy & classification

207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Derek Larson
Title Owner

Other identifiers

Identifier Type State Issuer
500014637 Medicaid MO -

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.

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Frequently asked questions

What type of organization is St Louis Kidney, LLC?
St Louis Kidney, LLC is registered in NPPES as a Nephrology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-30.