Amy Alvarez Cabbabe, MD
Individual provider Active NPI Anesthesiology Physician · Saint Louis, MO
NPI 1023293289 · NPPES record last updated Dec 13, 2010
Key facts
- NPI
- 1023293289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- MD60070567 (WA)
- Practice address
- 10010 Kennerly Rd
Saint Louis, MO 63128-2106 - Phone
- (636) 386-7222
- Fax
- (636) 200-4036
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Medical College of Georgia School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South County Anesthesia Associates LTD
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1000
Hospital & facility affiliations
- Mercy Hospital South
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110222000050 | MO | Practitioner - Anesthesiology | 9335286434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Arts, Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 498 | GA | MD | Counselor |
| 001402 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sreenu Ada,MD,PC | Past | Accepting new patients | |
| Au Medical Associates Anesthesia Billing Services, LLC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Associates of Savannah ,PA | Anesthesiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD60070567 | WA | Yes |
| Anesthesiology Physician | 207L00000X | 001402 | GA |
Addresses
Primary practice location
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Mailing address
PO Box 22407
Saint Louis, MO 63126-0407
Phone (636) 386-7222
Other providers in Saint Louis, MO
- C.M.C. Extended Care Center, Inc.
- C2N Diagnostics, LLC
- C3 Communities, LLC
- Ca Home Health Care Services LLC
- Belisario R Cabanilla
- Edmond B Cabbabe
- Samer William Cabbabe
- Heather Allison Cabeza
- Maria Theresa Cabonce
- Raquel Cabral
All providers in Saint Louis, MO · Anesthesiology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.