Active NPI
Cristina Ivette Olivas Chacon, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2025036598
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6031
- Fax
- (314) 251-6343
- NPI assigned
- Jun 17, 2016
- Last updated
- Oct 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 2025036598 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 2025036598 | MO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 45807 | OK | |
| Diagnostic Radiology Physician | 2085R0202X | D90924 | MD |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
11475 Olde Cabin Rd Ste 200
Saint Louis, MO 63141-7129
Phone (314) 991-8210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NH, MA, TX, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6031
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025036598 | MO | MD | Body Imaging Physician |
| D90924 | MD | MD | Diagnostic Radiology Physician |
| 45807 | OK | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Body Imaging | Current | Accepting new patients |
| Johns Hopkins University | Body Imaging | Current | Accepting new patients |
| Harbor Medical Associates, Inc. | Current | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| West County Radiological Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Cooley Dickinson Hospital Inc | Current | Accepting new patients | |
| Mass General Brigham Community Physicians Inc | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| North Shore Medical Center, Inc. | Current | Accepting new patients | |
| Hampshire Pathologists, Inc. | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Diagnostic Radiology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Cooley Dickinson Hospital Inc | Current | Accepting new patients | |
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
75 Francis St
Boston, MA 02115
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
30 Locust St
Northampton, MA 01060
Phone (413) 582-2000
399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-0165
541 Main St
Ste 201
South Weymouth, MA 02190
Phone (781) 335-4815
12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105
541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200
600 N Wolfe St
Baltimore, MD 21287
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
6201 Greenleigh Ave
Fl 2
Middle River, MD 21220
Phone (410) 933-2704
11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100
Interoperability endpoints
- olivaschacon.cristina.nsmc@direct.partners.masshiway.net
Organizations & group practices 16
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.
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
Body Imaging
-
- General Acute Care Hospital
- Northampton, MA
- NPI 1477596310
-
- Cardiovascular Disease Physician
- South Weymouth, MA
- NPI 1124079561
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Cardiovascular Disease Physician
- Medford, MA
- NPI 1548638265
NH, TX
-
- Family Medicine Physician
- Northampton, MA
- NPI 1295787919
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Diagnostic Radiology
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
dba Cooley Dickinson Urgent Care at Southampton
- Urgent Care Clinic/Center
- Southampton, MA
- NPI 1932669272
-
- Anatomic Pathology & Clinical Pathology Physician
- Northampton, MA
- NPI 1750326161
-
dba Physician Diagnostics
- Diagnostic Radiology Physician
- S Weymouth, MA
- NPI 1689909723
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1477903672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11475 OLDE CABIN RD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417129",
"telephone_number": "314-991-8210",
"fax_number": "314-991-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6031",
"fax_number": "314-251-6343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVAS CHACON",
"first_name": "CRISTINA",
"middle_name": "IVETTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "MO",
"license": "2025036598",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2025036598",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "45807",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D90924",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Dawn C Olenjack, DC
- James Michael Oleskevich, DDS
- Todd Allen Oleson
- Onyinyechukwu Oligbo, MD
- Jittarat C Olivares, PHARM.D.
- Olive Ambulatory Surgery Center, LLC (Olive Surgery Center)
- Olive Branch Home Health Care
- Olive Surgical Group, LTD.
- Hallie Katherine Olive, B.A.
- Marcos Vinicius Oliveira Marques, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.