Organization
Bluetail Medical Group, LLC.
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 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
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.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Orthopaedic Surgery
Sports Medicine
Allopathic & Osteopathic Physicians
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
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
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