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

Nicholas Gourtzelis, MD

Individual provider Nephrology Physician · NPI 1790734994

Nicholas Gourtzelis, MD is a Nephrology in St. Louis, Missouri. Qualified in 2000, 26 years ago. Practices with Nhs South LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
26
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10004 Kennerly Rd Ste 374B
St. Louis, MO 63128
Phone: (314) 842-9669
Fax: (314) 842-1017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 2005006931 (MO)

Record details

NPI number1790734994
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2006
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024
Mailing addressPo Box 802841, Kansas City, MO 64180-2841

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Nhs South Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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