Active NPI
Emmanuel St Louis, MD
- Family Medicine Physician
- Uniondale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 193946
- Practice address
- 905 Uniondale Ave
Uniondale, NY 11553-3235 - Phone
- (516) 489-3681
- Fax
- (516) 489-3682
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 193946 | NY | |
| Family Medicine Physician | 207Q00000X | 193946 | NY | Primary |
Addresses
Primary practice location
905 Uniondale Ave
Uniondale, NY 11553-3235
Mailing address
905 Uniondale Ave
Uniondale, NY 11553-3235
Phone (516) 489-3681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01517697 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Family Practice
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
905 Uniondale Ave
Uniondale, NY 11553-3235
Phone (516) 489-3681
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmanuel St. Louis MD PC | Family Medicine | Current | Accepting new patients |
| Caledonian Health Center | Past | Accepting new patients |
Locations
905 Uniondale Ave
Uniondale, NY 11553
Phone (516) 485-4630
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Uniondale, NY
- NPI 1417199027
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1184657355
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Catholic Health Home Care
- Home Health Agency
- Farmingdale, NY
- NPI 1780670711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1114937968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 UNIONDALE AVE",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115533235",
"telephone_number": "516-489-3681",
"fax_number": "516-489-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 UNIONDALE AVE",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115533235",
"telephone_number": "516-489-3681",
"fax_number": "516-489-3682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST LOUIS",
"first_name": "EMMANUEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "193946",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "193946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01517697",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Uniondale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.