Organization Active NPI

Robert H Rifkin MD LLC

  • Psychiatry Physician
  • Creve Coeur, MO
National Provider Identifier
1578045118
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R2F83 Issued in MO
Legal business name
ROBERT H RIFKIN MD LLC
Practice address
11477 Olde Cabin Rd Ste 210
Creve Coeur, MO 63141-7129
Phone
(314) 997-5208
Fax
(314) 997-5368
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Robert Rifkin, MDNPI 1639289051
Title
Owner
Phone
(314) 997-5208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X R2F83 MO Primary

Addresses

Primary practice location

11477 Olde Cabin Rd Ste 210
Creve Coeur, MO 63141-7129

Mailing address

PO Box 66726
Saint Louis, MO 63166-6726
Phone (314) 628-1423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181031001541 MO Part B Supplier - Clinic/Group Practice 0244583763 Receives reassigned benefits from 1 practitioner
Practice locations: Creve Coeur, MO; Saint Louis, MO

National Provider Directory

National Provider Directory

Locations

11477 Olde Cabin Rd
Saint Louis, MO 63141
Phone (314) 569-1717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1578045118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66726",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631666726",
            "telephone_number": "314-628-1423",
            "fax_number": "314-336-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11477 OLDE CABIN RD STE 210",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417129",
            "telephone_number": "314-997-5208",
            "fax_number": "314-997-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H RIFKIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "RIFKIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-997-5208",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R2F83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.