Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114601010 Individual Practitioner Male Practitioner

Dr. Peter Nwankwo , MD

General Practice • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Dr. Peter Nwankwo, MD is a registered healthcare professional specializing in General Practice in Saint Louis, MO. Practice services are available at 916 OLIVE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

916 Olive St

Saint Louis, MO 631011400

Telephone 3144369300
Associated Practice Facility / Clinic
🏢 Ucsl Llc Facility NPI 1821253097

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.1 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
67 Specialists

Practicing in Saint Louis, MO (221 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-12
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO 2023002881

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Farrah Aziz Greye , MD

Clinic/Center - Student Health

NPI 1184369019

Doctor of Medicine (M.D.)

Adina Winter , FNP-C

Nurse Practitioner - Family

NPI 1194263392

Family Nurse Practitioner (Certified)

Dr. Jerry Locheke , MD

Internal Medicine

NPI 1295209195

Doctor of Medicine (M.D.)

Dr. Walter Anazonwu , MD

Internal Medicine

NPI 1316511223

Doctor of Medicine (M.D.)

Tyler Miller

Nurse Practitioner

NPI 1417357419
Dr. Max Huang , MD

Internal Medicine

NPI 1427515907

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 12, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2023

Registered at 916 OLIVE ST, SAINT LOUIS, MO 631011400 (Tel: 3144369300)

📍
Updated Business Mailing Address June 12, 2023

Registered at 3655 BROOKVILLE DR APT 6, SAINT LOUIS, MO 631254619 (Tel: 6623741269)

👤
Provider Name / Credentials Updated June 12, 2023

Recorded as PETER NWANKWO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2023

General Practice (License #2023002881 in MO)

🟢
Initial NPI Registration & Enumeration June 12, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114601010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2023
Last Update: June 12, 2023
Sole Proprietor: No

Mailing Address

3655 Brookville Dr Apt 6

Saint Louis, MO 631254619

Phone: 6623741269

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.