Active NPI
Gerald Lionelli, M.D.
- Plastic Surgery Physician
- Chesterfield, MO
National Provider Identifier
1336258177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 2002010427
- Practice address
- 224 S Woods Mill Rd
Suite 450 South
Chesterfield, MO 63017-3513 - Phone
- (314) 843-0900
- Fax
- (314) 843-0904
- NPI assigned
- Aug 29, 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 2002010427 | MO | Primary |
Addresses
Primary practice location
224 S Woods Mill Rd
Suite 450 South
Chesterfield, MO 63017-3513
Mailing address
PO Box 419074
Creve Coeur, MO 63141-9074
Phone (314) 843-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200001907 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Diagnostic Center LLC | Past | Accepting new patients | |
| Plastic Surgery Consultants, LTD. | Plastic Surgery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Nuclear Imaging & Therapy Physician
- Saint Louis, MO
- NPI 1699750695
-
- Plastic Surgery Physician
- Saint Louis, MO
- NPI 1871560227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1336258177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419074",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631419074",
"telephone_number": "314-843-0900",
"fax_number": "314-843-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 S WOODS MILL RD",
"address_2": "SUITE 450 SOUTH",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173513",
"telephone_number": "314-843-0900",
"fax_number": "314-843-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIONELLI",
"first_name": "GERALD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MO",
"license": "2002010427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200001907",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.