Individual provider Active NPI

Matthew Francis Bialko, M.D., M.P.H.

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1124551403
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2018017661 Issued in MO
Practice address
6420 Clayton Rd
Saint Louis, MO 63117
Phone
(314) 781-4772
Fax
(314) 645-8771
NPI assigned
Apr 4, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 2018017661 MO Primary

Addresses

Primary practice location

6420 Clayton Rd
Saint Louis, MO 63117

Mailing address

6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 781-4772

Other practice location 1

103 Hilltop Village Shopping Center Dr
Eureka, MO 63025
Phone (314) 576-9797

Other practice location 2

5551 Winghaven Blvd Ste 170
O Fallon, MO 63368-3630
Phone (314) 576-9797

Other practice location 3

224 S Woods Mill Rd Ste 750S
Chesterfield, MO 63017-3470
Phone (314) 576-9797

Other identifiers 1

IdentifierTypeStateIssuer
2018017661OtherMOMISSOURI DIVISION OF PROFESSIONAL REGISTRATION

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
I20210715001193 MO Practitioner - Obstetrics/Gynecology 2769739549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrical Associates of St Lukes LLCGroup PAC ID 4688908890, 7 clinicians

Practice addresses (Care Compare)

224 S Woods Mill Rd
Suite 750S
Chesterfield, MO 63017-3623
Phone (314) 576-9797

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrical Associates of St. Luke'S, LLC Obstetrics & Gynecology CurrentSince Aug 16, 2021 Accepting new patients
St. Lukes Medical Group Obstetrics & Gynecology Past Accepting new patients
St. Lukes Episcopal-Presbyterian Hospital Past Accepting new patients

Locations

224 S Woods Mill Rd
Ste 750S
Chesterfield, MO 63017
Phone (314) 576-9797

5551 Winghaven Blvd
Ste 170
O Fallon, MO 63368
Phone (314) 205-6788

Organizations & group practices 3

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 3

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1124551403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171811",
            "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": "6420 CLAYTON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-781-4772",
            "fax_number": "314-645-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Hilltop Village Shopping Center Dr",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MO",
            "postal_code": "63025",
            "country_code": "US",
            "telephone_number": "314-576-9797",
            "fax_number": "314-469-7517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5551 Winghaven Blvd Ste 170",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633683630",
            "country_code": "US",
            "telephone_number": "314-576-9797",
            "fax_number": "314-469-7517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 S Woods Mill Rd Ste 750S",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173470",
            "country_code": "US",
            "telephone_number": "314-576-9797",
            "fax_number": "314-469-7517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIALKO",
        "first_name": "MATTHEW",
        "middle_name": "FRANCIS",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2021-06-09",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "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": "2018017661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI DIVISION OF PROFESSIONAL REGISTRATION",
            "identifier": "2018017661",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.