AMBULATORY ANESTHESIA SERVICES OF ST. CHARLES, LLC — NPI 1467634097 (Board-Certified Anesthesiologist & Interventional Pain Specialist in SAINT PETERS, MO)

CMS-1500 Box 24J / 33a • NPI

1467634097

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207L00000X (CMS 05)

Board-Certified Anesthesiologist & Interventional Pain Specialist

Box 32 Service Location & ZIP+4

4203 S CLOVERLEAF DR, SAINT PETERS, MO, 63376-6452

✓ 9-Digit EDI 837 ZIP+4 (63376-6452)

Practice Phone & Referral Fax

(636) 346-6051

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1467634097 (AMBULATORY ANESTHESIA SERVICES OF ST. CHARLES, 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	`1467634097` (NPI-2 Organization / Facility)
Provider / Legal Name	AMBULATORY ANESTHESIA SERVICES OF ST. CHARLES, LLC
Plain-English Specialty	Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: `207L00000X` (Anesthesiology)
Certifying / Licensing Body	American Board of Anesthesiology (ABA)
Practice Location Address	4203 S CLOVERLEAF DR, SAINT PETERS, MO, 63376-6452
Practice Telephone / Fax	Tel: (636) 346-6051
Administrative Mailing Address	13523 BARRETT PARKWAY DR, BALLWIN, MO, 63021-3802
Enumeration & Last Sync	Enumerated: 2007-12-05 \| CMS Record Updated: 2007-12-07
Authorized Official	KRISHNA KANAKADANDILA (Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4203 S CLOVERLEAF DR, SAINT PETERS, MO, 63376-6452

🗺️ Open in Google Maps 🏥 More Providers in SAINT PETERS

🔒 Are you AMBULATORY ANESTHESIA SERVICES OF ST. CHARLES, LLC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (207L00000X)

What Does Taxonomy Code 207L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology) • CMS Code 79 (Physician/Addiction Medicine)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMBULATORY ANESTHESIA SERVICES OF ST. CHARLES, LLC)

Typical CPT / Diagnostic Procedures:

General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks

Common Therapeutic Classes:

Propofol, Sevoflurane, Rocuronium & Sugammadex
Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207L00000X` — Anesthesiology Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	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

AMBULATORY ANESTHESIA SERVICES OF ST. CHARLES, LLC (NPI #1467634097)