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

Dr. Justin Grady, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669882205

Dr. Justin Grady, DO is a Critical Care (Intensivists) in Saint Louis, Missouri. Qualified in 2014, 12 years ago. Practices with Cogent Healthcare of Missouri Inc, a 30-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6420 Clayton Rd, Saint Louis, MO 63117-1811 — (314) 768-8778

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 2017021034 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MO)

Record details

NPI number1669882205
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 5, 2014
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cogent Healthcare Of Missouri Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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