Skip to content
NPISignal

Organization

Bluetail Medical Group, LLC.

NPI Record: ActiveOrthopaedic Surgery — Sports Medicine
NPI1285986398
Chesterfield, Missouri

Provider's NPPES record last updated: November 17, 2025

Overview

Entity Type
Organization
NPI
1285986398
Primary Specialty
Orthopaedic Surgery — Sports Medicine
Practice Location
Chesterfield, Missouri
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:53 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Orthopaedic Surgery

    Sports Medicine

    Allopathic & Osteopathic Physicians

    Primary

    An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

    Taxonomy code 207XX0005X
  • Clinic/Center

    Ambulatory Health Care Facilities

    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

    Taxonomy code 261Q00000X

Provider-Reported License Information

Orthopaedic Surgery (Missouri)
LC1262307
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

13353 Olive Blvd

Chesterfield, Missouri 63017-3108

Phone: (636) 778-2900

Additional Practice Location

516 E State Road 32

Westfield, Indiana 46074-8767

Phone: (636) 778-2900

Additional Practice Location

3852 Creamery Rd

De Pere, Wisconsin 54115-9210

Phone: (636) 778-2900

Additional Practice Location

2807 W Broadway Ste 107

Columbia, Missouri 65203-1317

Phone: (636) 778-2900

Additional Practice Location

101 Hodencamp Rd Ste 102

Thousand Oaks, California 91360-5831

Phone: (636) 778-2900

Additional Practice Location

36 Old Kings Hwy S Ste 105

Darien, Connecticut 06820-4523

Phone: (636) 778-2900

Additional Practice Location

1575 Lookout Dr

North Mankato, Minnesota 56003-2503

Phone: (636) 778-2900

Additional Practice Location

160 Westmount Dr

Farmington, Missouri 63640-2970

Phone: (636) 778-2900

Additional Practice Location

1875 Veterans Park Dr Ste 2201

Naples, Florida 34109-0596

Phone: (239) 631-1960

Fax: (239) 631-5967

Record Information

Enumeration Date
October 12, 2012
Provider's NPPES Record Last Updated
November 17, 2025
Certification Date
November 17, 2025
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue