Individual provider Active NPI

Samer William Cabbabe, M.D.

  • Plastic Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1184827271
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2009006299 Issued in MO
Practice address
10004 Kennerly Rd Ste 281B
Saint Louis, MO 63128-2109
Phone
(314) 842-5885
Fax
(314) 842-7792
NPI assigned
Jun 7, 2007
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 2009006299 MO Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 281B
Saint Louis, MO 63128-2109

Mailing address

10004 Kennerly Rd Ste 283B
Saint Louis, MO 63128-2177
Phone (314) 272-0864

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
I20090721000283 MO Practitioner - Plastic and Reconstructive Surgery 5890847958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Saint Louis University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Consultants, LTD.Group PAC ID 6901858968, 6 clinicians

Practice addresses (Care Compare)

10004 Kennerly Rd
Saint Louis, MO 63128-2109
Phone (314) 272-0864

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Consultants, LTD. Plastic Surgery CurrentSince Aug 17, 2009 Accepting new patients
Cardiac Diagnostic Center LLC PastSince Jun 27, 2021 Accepting new patients

Locations

10004 Kennerly Rd
Ste 281B
Saint Louis, MO 63128
Phone (314) 272-0864

10004 Kennerly Rd
Ste 283B
Saint Louis, MO 63128
Phone (314) 272-0864

10004 Kennerly Rd
Ste 365B
Saint Louis, MO 63128
Phone (314) 729-1350

10004 Kennerly Rd
Ste 367B
Saint Louis, MO 63128
Phone (314) 842-5885

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1184827271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 283B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177",
            "telephone_number": "314-272-0864",
            "fax_number": "314-272-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 281B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282109",
            "telephone_number": "314-842-5885",
            "fax_number": "314-842-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABBABE",
        "first_name": "SAMER",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "2009006299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.