Active NPI
Ronald St Louis, MD
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1336153303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 173155
- Practice address
- 3327 Bainbridge Ave
Bronx, NY 10467-2801 - Phone
- (718) 324-6365
- Fax
- (718) 881-5700
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 173155 | NY | Primary |
Addresses
Primary practice location
3327 Bainbridge Ave
Bronx, NY 10467-2801
Mailing address
1333A North Ave
P.M.B.709
New Rochelle, NY 10804-2120
Phone (718) 324-6365
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39K682 | Other | NY | BC BS PROVIDER NUMBER |
| 432899N1 | Other | NY | CIGNA PROVIDER NUMBER |
| 01569566 | Medicaid | NY | |
| 1782397 | Other | NY | UNITED HEALTHCARE |
| 0H2808 | Other | NY | HEALTHNET PROVIDER NUMBER |
| 7886075 | Other | NY | AETNA PPO |
| 3208825 | Other | NY | AETNA-HMO PROVIDER NUMBER |
| 13406262101 | Other | NY | 1199 NAT'L BENEFIT FUND |
| P2486790 | Other | NY | OXFORD PROVIDER NUMBER |
| 0401897 | Other | NY | UNITED HEALTHCARE MEDICAR |
| 173155-C14 | Other | NY | HEALTHFIRST PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050427000423 | NY | Practitioner - Internal Medicine | 7517906878 | Practice locations: Bronx, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3327 Bainbridge Ave
Bronx, NY 10467-2801
Phone (718) 324-6365
Hospital & facility affiliations
- Cassena Care at Home
- Montefiore Medical Center
- Regeis Care Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 14.32 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 47.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173155 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Medical Associates PLLC | Past | Accepting new patients | |
| Internal Medicine and Nephrology of New York, PLLC | Internal Medicine | Past | Accepting new patients |
| Montefiore Medical Center | Past | Accepting new patients | |
| Regeis Care Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
-
- Nephrology Physician
- Bronx, NY
- NPI 1942317151
Internal Medicine
-
- Specialist
- Bronx, NY
- NPI 1578933461
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Skilled Nursing Facility
- Bronx, NY
- NPI 1386623874
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
-
- Home Health Agency
- Brooklyn, NY
- NPI 1114557931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1336153303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333A NORTH AVE",
"address_2": "P.M.B.709",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108042120",
"telephone_number": "718-324-6365",
"fax_number": "718-881-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3327 BAINBRIDGE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104672801",
"telephone_number": "718-324-6365",
"fax_number": "718-881-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST LOUIS",
"first_name": "RONALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "173155",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS PROVIDER NUMBER",
"identifier": "39K682",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "432899N1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01569566",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1782397",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET PROVIDER NUMBER",
"identifier": "0H2808",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7886075",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA-HMO PROVIDER NUMBER",
"identifier": "3208825",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199 NAT'L BENEFIT FUND",
"identifier": "13406262101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "P2486790",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE MEDICAR",
"identifier": "0401897",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST PROVIDER #",
"identifier": "173155-C14",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.