Healthcare Provider Details

I. General information

NPI: 1013919083
Provider Name (Legal Business Name): LOUIS CHRISTOPHER TRIPOLI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8010 PRESIDIO CT
SAINT LOUIS MO
63130-1054
US

IV. Provider business mailing address

8010 PRESIDIO CT
SAINT LOUIS MO
63130-1054
US

V. Phone/Fax

Practice location:
  • Phone: 314-607-1565
  • Fax: 314-405-9629
Mailing address:
  • Phone: 314-607-1565
  • Fax: 314-405-9629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number17069
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG87070
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number109666
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: