Individual provider Active NPI

Shannon Michelle Grabosch, M.D.

  • Gynecologic Oncology Physician
  • Saint Louis, MO
National Provider Identifier
1003136151
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
2018006396 Issued in MO
Practice address
1031 Bellevue Ave Ste 400
Saint Louis, MO 63117-1858
Phone
(314) 781-4772
Fax
(314) 645-8771
NPI assigned
Jun 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 2018006396 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 2010021063 MO

Addresses

Primary practice location

1031 Bellevue Ave Ste 400
Saint Louis, MO 63117-1858

Mailing address

1031 Bellevue Ave Ste 400
Saint Louis, MO 63117-1858
Phone (314) 781-4772

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sgrabosch24346@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723001874 MO Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 3678792744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647

1031 Bellevue Ave
Suite 280a
Saint Louis, MO 63117-1818
Phone (314) 977-7455

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

1225 S Grand Blvd
Saint Louis, MO 63104-1016

1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 577-8475

224 S Woods Mill Rd
Chesterfield, MO 63017-3513

6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8208

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010021063MOMDObstetrics & Gynecology Physician
2018006396MOMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Cardinal Glennon Childrens Hospital CurrentSince Oct 21, 2022 Accepting new patients
SSM Cardinal Glennon Children'S Hospital CurrentSince Oct 21, 2022 Accepting new patients
SSM Health Care St Louis CurrentSince Oct 21, 2022 Accepting new patients
SSM Health Care St. Louis CurrentSince Oct 21, 2022 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
SSM Health Care Group Obstetrics & Gynecology CurrentSince Jul 1, 2022 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

226 S Woods Mill Rd
Ste 62W
Chesterfield, MO 63017
Phone (314) 469-3990

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

6420 Clayton Rd
Ste 291
Saint Louis, MO 63117
Phone 3147814772 ext. 7

1031 Bellevue Ave
Ste 400
Saint Louis, MO 63117

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

1031 Bellevue Ave
Saint Louis, MO 63117
Phone (314) 781-4772

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

Interoperability endpoints

  • Direct secure messaging: sgrabosch24346@direct-ehr-ssmhc.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ce02d798-0df3-49b1-b868-83babab6d7e6/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1003136151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 BELLEVUE AVE STE 400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171858",
            "telephone_number": "314-781-4772",
            "fax_number": "314-645-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 BELLEVUE AVE STE 400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171858",
            "telephone_number": "314-781-4772",
            "fax_number": "314-645-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABOSCH",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-10",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MO",
            "license": "2018006396",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2010021063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgrabosch24346@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sgrabosch24346@direct-ehr-ssmhc.com",
            "address_1": "1031 Bellevue Ave Ste 400",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171858",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1031 Bellevue Ave Ste 400",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.