Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Derek Sloan Larson, MD

Individual provider Nephrology Physician · NPI 1588820096

Dr. Derek Sloan Larson, MD is an Internal Medicine in Creve Coeur, Missouri. Qualified in 2008, 18 years ago. Practices with St Louis Kidney LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
18
Licensed in
IL, MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

456 N New Ballas Rd Ste 348
Creve Coeur, MO 63141-6846
Phone: (314) 548-0265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2014016671 (MO)
Nephrology Physician Taxonomy 207RN0300X · Licence 036126443 (IL)

Record details

NPI number1588820096
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2008
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice St Louis Kidney Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Creve Coeur