Edmond B Cabbabe, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

R8454 Issued in MO

Practice address

10004 Kennerly Rd Ste 281B
Saint Louis, MO 63128-2109

Phone

(314) 842-5885

Fax

(314) 842-7792

NPI assigned

Mar 8, 2006

Last updated

Jun 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plastic Surgery Consultants, LTD.Group PAC ID 6901858968, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Plastic Surgery Consultants, LTD.

  • Plastic Surgery Physician
  • Saint Louis, MO
  • NPI 1871560227
  Medicare reassignment Care Compare group NPD Authorized official
• Cardiac Diagnostic Center LLC

  • Nuclear Imaging & Therapy Physician
  • Saint Louis, MO
  • NPI 1699750695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1437126489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 283B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177",
            "telephone_number": "314-272-0864",
            "fax_number": "314-272-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 281B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282109",
            "telephone_number": "314-842-5885",
            "fax_number": "314-842-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABBABE",
        "first_name": "EDMOND",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "R8454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C2N Diagnostics, LLC
• C3 Communities, LLC (C3 Therapy)
• Ca Home Health Care Services LLC
• Belisario R Cabanilla, MD
• Amy Alvarez Cabbabe, MD
• Samer William Cabbabe, M.D.
• Heather Allison Cabeza, PT, DPT
• Maria Theresa Cabonce
• Raquel Cabral, PHD
• Frances Loreini Cabrera

• Plastic Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Plastic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.

Verify at the official NPI Registry.