Modern Medical Group STL

  • Multi-specialty group
  • Saint Louis, MO
  • Core specialty: Podiatry
NPI1811752900PAC ID5193166403Dmand IDNG-MGR-059100
Total HCPs
3
Physicians (MD/DO)
2
Specialty areas
2
Medicare Part B payments
$1.4M
Address
5139 Mattis Rd Ste 102, Saint Louis, MO 63128-2250
Main phone
(314) 396-9517
Specialty areas
2, led by podiatry
Website and social

Parent organization

Modern Medical Group

Independent practice · Saint Louis, Missouri

Find the right contacts among 3 HCPs

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Modern Medical Group STL is a podiatry medical group in Saint Louis, Missouri

Modern Medical Group STL (Modern Medical Group Inc) is part of Modern Medical Group.

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; and Dmand AI Affiliation Data

Modern Medical Group STL's NPI is 1811752900 and its PAC ID is 5193166403

Identifiers
Primary NPI (Type 2)
1811752900NPI Registry (opens in a new tab)
Medicare PAC ID
5193166403
Dmand ID
NG-MGR-059100
Medicare enrollment
Enrolled (PAC ID on file)
Contact
Address
5139 Mattis Rd Ste 102, Saint Louis, MO 63128-2250
Main phone
(314) 396-9517
Executive emails and mobiles
Get contacts
Classification
Group type
Multi-specialty
Core specialty
Podiatry
Specialty areas
2
Site structure
Single-site
Ownership model
DSO / MSO
Leadership
Physician-led
Medicare Part B payments
$1.4M
Legal name
Modern Medical Group Inc

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; Dmand AI Organization Profile Data; and Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data

Modern Medical Group STL is part of Modern Medical Group

Dmand AI places Modern Medical Group STL under Modern Medical Group, an independent practice.

  • Modern Medical GroupIndependent practice
  • Modern Medical Group STLMulti-specialty medical group · Saint Louis, MO

Source: Dmand AI Org Hierarchy Data

Org hierarchy

Map Modern Medical Group STL's entire network

See how Modern Medical Group STL connects to Modern Medical Group: its parent organizations, sister groups and every site of care in between, with the HCPs and leaders at each one.

Modern Medical Group STL has 2 physicians among 3 HCPs

Physicians (MD, DO)2
Other clinicians1

Modern Medical Group STL physicians by specialty

  1. General practice1
  2. Vascular surgery1

Share of the group's 2 physicians.

Modern Medical Group STL physicians

View all 3 HCPs

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Modern Medical Group STL practices at one location in Saint Louis

Modern Medical Group STL practice locations

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Full footprint

See every site where Modern Medical Group STL HCPs practice

Open all 1 practice location with facility phones, patient visits and the HCPs at each site.

Modern Medical Group STL covers 2 specialty areas, led by podiatry

Podiatry is Modern Medical Group STL's core specialty, and its HCPs practice 2 subspecialties in all.

  • PodiatryCore
  • Surgery

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Dmand AI tracks the EHR at Modern Medical Group STL

Vendor and product names for the practice are available with a free account.

EHR systems at Modern Medical Group STL
SiteEHR vendorProduct
PracticeAvailable with a free accountAvailable with a free account

Source: Dmand AI Technology Install Data

Sources for Modern Medical Group STL data

Sources for the data on this page
Data on this pageSource
NPI, PAC ID and addressNPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Dmand ID, phone, website, LinkedIn and group profileDmand AI Org Hierarchy DataDmand AI Organization Profile Data
Medicare Part B paymentsMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
Parent organizations and sister groupsDmand AI Org Hierarchy Data
HCPs and physician specialtiesNPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Specialty areasDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Practice locations and hospitalsDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
EHR vendorsDmand AI Technology Install Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Modern Medical Group STL

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Modern Medical Group STL's NPI number?

Modern Medical Group STL's primary NPI (Type 2) is 1811752900.

What is Modern Medical Group STL's PAC ID?

Modern Medical Group STL's Medicare PAC ID is 5193166403, which means the group is enrolled in Medicare.

Where is Modern Medical Group STL located?

Modern Medical Group STL is at 5139 Mattis Rd Ste 102, Saint Louis, MO 63128-2250.

What is Modern Medical Group STL's phone number?

Modern Medical Group STL's main phone number is (314) 396-9517.

Who owns Modern Medical Group STL?

Dmand AI places Modern Medical Group STL under Modern Medical Group, an independent practice.

How many physicians does Modern Medical Group STL have?

Dmand AI links 2 physicians and 3 HCPs in all to Modern Medical Group STL.

What specialties does Modern Medical Group STL cover?

Modern Medical Group STL covers 2 specialty areas, led by podiatry. The largest physician specialties are general practice (1) and vascular surgery (1).

How much does Modern Medical Group STL receive from Medicare?

CMS data shows $1.4 million in Medicare Part B payments to Modern Medical Group STL.

Selling to podiatry groups?

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