Individual provider Active NPI

Juliana Carmi Verticchio, M.D.

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1285999508
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2011017881 Issued in MO
Practice address
3023 N Ballas Rd
Suite 440D
Saint Louis, MO 63131-2330
Phone
(314) 432-8181
Fax
(314) 432-0090
NPI assigned
Jul 12, 2012
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2011017881 MO Primary

Addresses

Primary practice location

3023 N Ballas Rd
Suite 440D
Saint Louis, MO 63131-2330

Mailing address

3023 N Ballas Rd
Suite 440D
Saint Louis, MO 63131-2330
Phone (314) 432-8181

Other practice location 1

1103 W Liberty St
Farmington, MO 63640-1921
Phone (573) 756-6751

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
I20150716002867 MO Practitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 1951530484 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Loyola University of Chicago, Stritch School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

3023 N Ballas Rd
Suite 440D
Saint Louis, MO 63131-2363
Phone (314) 432-8181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011017881MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ste. Genevieve County Memorial Hospital CurrentSince Sep 22, 2021 Accepting new patients
Washington University CurrentSince Sep 5, 2023 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 22, 2021 Accepting new patients
Missouri Baptist Medical Center CurrentSince Sep 23, 2015 Accepting new patients
Missouri Baptist Medical Center CurrentSince Sep 23, 2015 Accepting new patients
Washington University CurrentSince Sep 5, 2023 Accepting new patients
Ste Genevieve County Memorial Hospital Obstetrics & Gynecology CurrentSince Sep 22, 2021 Accepting new patients
Physician Groups LC Obstetrics & Gynecology Past Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

1103 W Liberty St
Farmington, MO 63640
Phone (573) 760-8488

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

3023 N Ballas Rd
Ste 440D
Saint Louis, MO 63131
Phone (314) 432-8181

209 First Executive Ave
Saint Peters, MO 63376
Phone (636) 936-8777

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: jverticchio171496@direct.carenet.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1285999508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS RD",
            "address_2": "SUITE 440D",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312330",
            "telephone_number": "314-432-8181",
            "fax_number": "314-432-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS RD",
            "address_2": "SUITE 440D",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312330",
            "telephone_number": "314-432-8181",
            "fax_number": "314-432-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401921",
            "country_code": "US",
            "telephone_number": "573-756-6751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERTICCHIO",
        "first_name": "JULIANA",
        "middle_name": "CARMI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2011017881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1103 W Liberty St",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.