Individual provider Active NPI

Carol Yvonne Crooks, MD

  • Physical Medicine & Rehabilitation Physician
  • Saint Louis, MO
National Provider Identifier
1316979065
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2005021693 Issued in MO
Practice address
4455 Duncan Ave
Div Ortho Surgery Neurorehab
Saint Louis, MO 63110-1111
Phone
(314) 514-3500
Fax
(314) 878-7678
NPI assigned
Jul 6, 2006
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2005021693 MO Primary

Addresses

Primary practice location

4455 Duncan Ave
Div Ortho Surgery Neurorehab
Saint Louis, MO 63110-1111

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 514-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050920000073 MO Practitioner - Physical Medicine and Rehabilitation 4284668351 Reassigns benefits to 1 organization
I20241115001848 WV Practitioner - Physical Medicine and Rehabilitation 4284668351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Missouri, Kansas City, School of Medicine, 2001
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)

4455 Duncan Ave
Saint Louis, MO 63110-1111
Phone (314) 514-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34313WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center, Inc. Current Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Oct 7, 2024 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Oct 7, 2024 Accepting new patients
Washington University CurrentSince Feb 16, 2025 Accepting new patients
Washington University CurrentSince Feb 16, 2025 Accepting new patients
Washington University Past Accepting new patients
The Rehabilitation Institute of St. Louis, LLC Past Accepting new patients

Locations

14561 North Outer 40 Rd
Chesterfield, MO 63017
Phone (314) 881-4000

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700

11155 Dunn Rd
Ste 206E
Saint Louis, MO 63136
Phone (314) 355-6700

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

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

4921 Parkview Pl
#6A6B12A
Saint Louis, MO 63110

4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

Organizations & group practices 7

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 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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1316979065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-514-3500",
            "fax_number": "314-878-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 DUNCAN AVE",
            "address_2": "DIV ORTHO SURGERY NEUROREHAB",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101111",
            "telephone_number": "314-514-3500",
            "fax_number": "314-878-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKS",
        "first_name": "CAROL",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-04-17",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2005021693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4455 Duncan Ave",
            "address_2": "Div Ortho Surgery Neurorehab",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101111",
            "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.