KENNETH GERDES , LLC
KENNETH GERDES , LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1679514095, based in Saint Louis, MO. It is classified under Specialist.
Getting there
The practice address on file is 11155 DUNN RD SUITE 211N, Saint Louis, MO 63136. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 117124 | MO | Specialist primary |
This provider holds licence 117124 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 6709828304
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Missouri | O20050524000909 | Part B Supplier - Clinic/group Practice |
| Illinois | O20060421000471 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records across 2 states (MO, IL). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Specialist covers
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NUCC Health Care Provider Taxonomy, code 174400000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1679514095 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 9, 2006 |
| Last updated | Dec 10, 2024 |
| Status | Active |
| Practice address |
11155 DUNN RD SUITE 211N Saint Louis, MO 63136 (314) 432-2580 Fax (314) 991-8960 |
| Mailing address |
PO BOX 1209 Maryland Heights, MO 63043 |
| Other identifiers |
500745609
· Medicaid (MO) DE2084 · Other (MO) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 7 | 9 | 5 | 1 | 4 | 0 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 5 | 9 | 1 | 1 | 8 | 0 | 9 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.