Nicholas Gourtzelis, MD
Nicholas Gourtzelis, MD is a Nephrology Physician in St Louis, MO, registered under NPI 1790734994.
Getting there
The practice address on file is 10004 KENNERLY RD STE 374B, St Louis, MO 63128. 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 |
|---|---|---|
| 2005006931 | MO | Nephrology Physician primary |
This provider holds licence 2005006931 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
- Practitioner - Nephrology
- PAC ID
- 5496798076
- Enrollment ID
- I20050606000048
Medicare enrolment is recorded as approved under the provider type Practitioner - Nephrology. 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 Nephrology covers
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NUCC Health Care Provider Taxonomy, code 207RN0300X
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-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1790734994 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 8, 2006 |
| Last updated | Jan 22, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
10004 KENNERLY RD STE 374B St Louis, MO 63128 (314) 842-9669 Fax (314) 842-1017 |
| Mailing address |
PO BOX 802841 Kansas City, MO 64180 |
| Other identifiers |
207376708
· Medicaid (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 | 7 | 9 | 0 | 7 | 3 | 4 | 9 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 5 | 3 | 8 | 9 | 9 |
Sum = 76 · next multiple of 10 = 80 · check digit = 4 · actual last digit = 4
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.