MERCY CLINIC KIDS GI, LLC — NPI 1033352885 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in SAINT LOUIS, MO)

CMS-1500 Box 24J / 33a • NPI

1033352885

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2080P0206X (CMS 37)

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

621 S NEW BALLAS RD, SUITE 140-A, SAINT LOUIS, MO, 63141-8232

✓ 9-Digit EDI 837 ZIP+4 (63141-8232)

Practice Phone & Referral Fax

(314) 996-0006

Fax: (314) 996-0007

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033352885 (MERCY CLINIC KIDS GI, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033352885` (NPI-2 Organization / Facility)
Provider / Legal Name	MERCY CLINIC KIDS GI, LLC
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `2080P0206X` (Pediatrics, Pediatric Gastroenterology)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	621 S NEW BALLAS RD, SUITE 140-A, SAINT LOUIS, MO, 63141-8232
Practice Telephone / Fax	Tel: (314) 996-0006 \| Fax: (314) 996-0007
Administrative Mailing Address	621 S NEW BALLAS RD STE Y-G230, SAINT LOUIS, MO, 63141-8232
Enumeration & Last Sync	Enumerated: 2009-04-09 \| CMS Record Updated: 2025-04-25
Authorized Official	KERRY DUNGER (Executive Director - Finance)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

621 S NEW BALLAS RD, SUITE 140-A, SAINT LOUIS, MO, 63141-8232

🗺️ Open in Google Maps 🏥 More Providers in SAINT LOUIS

🔒 Are you MERCY CLINIC KIDS GI, LLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (2080P0206X)

What Does Taxonomy Code 2080P0206X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2080P0206X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 37 (Physician/Pediatric Medicine)
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MERCY CLINIC KIDS GI, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2080P0206X` — Pediatrics, Pediatric Gastroenterology Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

MERCY CLINIC KIDS GI, LLC (NPI #1033352885)