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Export Provider Record NPI 1376632018
James W DimitroffMD
Active
NPI Number1376632018
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine, Gastroenterology
Provider Details
NPI1376632018
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-10-12
Last Updated2025-09-17
Mailing AddressPo Box 959354
Saint Louis, MO 63195-9354
United States
Phone: (636) 916-9615 | Fax: (636) 916-9850
📍 View Map
Primary Practice Address70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619
United States
Phone: (636) 916-9615
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMO206981201-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RG0100X – Internal Medicine, GastroenterologyMO105556
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About NPI 1376632018

James W Dimitroff MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1376632018. The primary specialty listed is Internal Medicine, Gastroenterology. The provider is located in Saint Peters, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1376632018?

NPI 1376632018 belongs to James W Dimitroff MD, a Internal Medicine, Gastroenterology in Saint Peters, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1376632018 active?

The current status of NPI 1376632018 in the NPPES registry is Active. The record was last updated on 2025-09-17.

What specialty is NPI 1376632018?

NPI 1376632018 is classified under the taxonomy Internal Medicine, Gastroenterology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1376632018?

You can verify NPI 1376632018 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1376632018?

The primary practice address on file for NPI 1376632018 is 70 Jungermann Cir Ste 201, Saint Peters, MO 63376-1619. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1376632018 issued?

NPI 1376632018 was first issued (enumerated) on 2006-10-12. The NPPES record was last updated on 2025-09-17.

Practice Location Map

James W Dimitroff is located at 70 Jungermann Cir Ste 201, Saint Peters, MO. Use the map below to find directions or verify the practice location.

📍 70 Jungermann Cir Ste 201, Saint Peters, MO 63376-1619  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as James W Dimitroff. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1376632018. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Gastroenterology105556MO
Data Verified from CMS NPPES Last synced: 2026-08-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162