Individual provider Active NPI

Dionysios K Veronikis, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Saint Louis, MO
National Provider Identifier
1629047626
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
112659 Issued in MO
Practice address
621 S New Ballas Rd
Suite 2002 Tower B
Saint Louis, MO 63141-8232
Phone
(314) 251-6753
Fax
(314) 251-4492
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 112659 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd
Suite 2002 Tower B
Saint Louis, MO 63141-8232

Mailing address

621 S New Ballas Rd
Suite 2002 Tower B
Saint Louis, MO 63141-8232
Phone (314) 251-6753

Other practice location 1

1400 US Highway 61 Ste 260
Festus, MO 63028-4101
Phone (314) 251-6753

Other practice location 2

10004 Kennerly Rd Ste 165B
Saint Louis, MO 63128-2176
Phone (314) 270-9877

Other identifiers 1

IdentifierTypeStateIssuer
431-976-0OtherECFMG

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060727000001 MO Practitioner - Obstetrics/Gynecology 8325051998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6000

621 S New Ballas Rd
Saint Louis, MO 63141-8265
Phone (314) 251-6753

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Mar 7, 2017 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 7, 2017 Accepting new patients
Gynecologic & Reconstructive Surgery, LTD CurrentSince Jan 1, 2000 Accepting new patients
Mercy Support Services Past Accepting new patients
St. John'S Mercy Support Services Past Accepting new patients

Locations

1400 US Highway 61
Ste 260
Crystal Cty, MO 63028
Phone (636) 933-2121

621 S New Ballas Rd
Ste 2009B
Saint Louis, MO 63141
Phone (314) 251-6062

621 S New Ballas Rd
Ste 4006B
Saint Louis, MO 63141
Phone (314) 251-6486

10004 Kennerly Rd
Ste 165B
Saint Louis, MO 63128
Phone (314) 270-9877

621 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-4283

621 S New Ballas Rd
Ste 2002B
Saint Louis, MO 63141
Phone (314) 251-6753

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

Organizations & group practices 5

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1629047626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 2002 TOWER B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6753",
            "fax_number": "314-251-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 2002 TOWER B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6753",
            "fax_number": "314-251-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 US Highway 61 Ste 260",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284101",
            "country_code": "US",
            "telephone_number": "314-251-6753",
            "fax_number": "314-251-4492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10004 Kennerly Rd Ste 165B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282176",
            "country_code": "US",
            "telephone_number": "314-270-9877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERONIKIS",
        "first_name": "DIONYSIOS",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MO",
            "license": "112659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "431-976-0",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.