Active NPI
Shannon Michelle Grabosch, M.D.
- Gynecologic Oncology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 2018006396
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- 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
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
- St Lukes Hospital
- SSM Health Depaul Hospital St Louis
- SSM St Joseph Health Center
- SSM Health Saint Louis University Hospital
- SSM Health Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010021063 | MO | MD | Obstetrics & Gynecology Physician |
| 2018006396 | MO | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| SSM Cardinal Glennon Children'S Hospital | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Obstetrics & Gynecology | Current | 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
- sgrabosch24346@direct-ehr-ssmhc.com
- 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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Obstetrics & Gynecology
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1366400855
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.