Individual provider Active NPI

Robert S Kebler, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1669466512
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R4H06 Issued in MO
Practice address
456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141-6831
Phone
(314) 567-6868
Fax
(314) 567-0578
NPI assigned
Sep 7, 2005
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R4H06 MO Primary

Addresses

Primary practice location

456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141-6831

Mailing address

PO Box 7412065
Chicago, IL 60674-2065
Phone (314) 567-6868

Other identifiers 1

IdentifierTypeStateIssuer
202492005MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20221018002074 MO Practitioner - Pediatric Medicine 1850767765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Pediatrics CurrentSince Oct 3, 2022 Accepting new patients
Washington University CurrentSince Oct 3, 2022 Accepting new patients
Washington University Past Accepting new patients
Washington University Past Accepting new patients

Locations

4116 Von Talge Rd
Ste B
Saint Louis, MO 63128
Phone (314) 892-8787

456 N New Ballas Rd
Ste 304
Saint Louis, MO 63141
Phone (314) 567-0578

660 S Euclid Ave
Stop 8221871800
Saint Louis, MO 63110

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1669466512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412065",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742065",
            "telephone_number": "314-567-6868",
            "fax_number": "314-567-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD",
            "address_2": "STE 304",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416831",
            "telephone_number": "314-567-6868",
            "fax_number": "314-567-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBLER",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-04-18",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R4H06",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202492005",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "456 N New Ballas Rd",
            "address_2": "STE 304",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.