Individual provider Active NPI

Rachel Corbin, MD

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1174053532
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020015147 Issued in MO
Practice address
19 The Boulevard Saint Louis
Saint Louis, MO 63117-1118
Phone
(314) 354-8810
NPI assigned
Jun 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020015147 MO Primary

Addresses

Primary practice location

19 The Boulevard Saint Louis
Saint Louis, MO 63117-1118

Mailing address

19 The Boulevard Saint Louis
Saint Louis, MO 63117-1118
Phone (314) 354-8810

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
I20200619000736 MO Practitioner - Family Practice 1658793609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Washington University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

PO Box
Saint Louis, MO 63195

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocates for a Healthy Community, Inc CurrentSince Jun 17, 2020 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Jan 12, 2026 Accepting new patients
SSM Medical Group, Inc. CurrentSince Aug 4, 2023 Accepting new patients
Advocates for a Healthy Community Inc CurrentSince Jun 17, 2020 Accepting new patients
SSM Medical Group Inc. CurrentSince Aug 4, 2023 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

441 N Kirkwood Rd
Saint Louis, MO 63122
Phone (314) 687-2716

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

19 The Boulevard Saint Louis
Saint Louis, MO 63117
Phone (314) 354-8810

440 E Tampa St
Springfield, MO 65806
Phone (417) 831-0191

Interoperability endpoints

  • Direct secure messaging: rcorbin490918@direct-ehr-ssmhc.com

Organizations & group practices 6

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1174053532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 THE BOULEVARD SAINT LOUIS",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171118",
            "telephone_number": "314-354-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 THE BOULEVARD SAINT LOUIS",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171118",
            "telephone_number": "314-354-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "RACHEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020015147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.