Individual provider Active NPI

Ronald St Louis, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1336153303
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
173155 Issued in NY
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

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39K682OtherNYBC BS PROVIDER NUMBER
432899N1OtherNYCIGNA PROVIDER NUMBER
01569566MedicaidNY
1782397OtherNYUNITED HEALTHCARE
0H2808OtherNYHEALTHNET PROVIDER NUMBER
7886075OtherNYAETNA PPO
3208825OtherNYAETNA-HMO PROVIDER NUMBER
13406262101OtherNY1199 NAT'L BENEFIT FUND
P2486790OtherNYOXFORD PROVIDER NUMBER
0401897OtherNYUNITED HEALTHCARE MEDICAR
173155-C14OtherNYHEALTHFIRST 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Home health agency, Brooklyn, NY, CCN 337441
  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Regeis Care Center Nursing home, Bronx, NY, CCN 335019

Merit-based Incentive Payment System (MIPS)

Final score
14.32 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
47.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173155NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Medical Associates PLLC PastSince Aug 28, 2025 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.

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": "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

Verify at the official NPI Registry.