Active NPI
Rebecca Joy Chibnall, MD
- Dermatology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2013023315
- Practice address
- 5225 Mid America PLZ Ste 2300
Ste 2300
Saint Louis, MO 63129-0002 - Phone
- (314) 942-6386
- Fax
- (314) 289-1908
- NPI assigned
- Jun 5, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2013023315 | MO | Primary |
Addresses
Primary practice location
5225 Mid America PLZ Ste 2300
Ste 2300
Saint Louis, MO 63129-0002
Mailing address
660 S Euclid Ave
C B 8123
Saint Louis, MO 63110-1010
Phone (314) 942-6386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3783 Vogel Rd
Arnold, MO 63010-6202
Phone (636) 751-0995
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.88 of 100
- Quality
- 89.76
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 456 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 167 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meramec Dermatology LLC | Dermatology | Current | Accepting new patients |
| Ozarks Medical Center | Dermatology | Past | Accepting new patients |
Locations
3783 Vogel Rd
Arnold, MO 63010
Phone (636) 751-0995
1204 E State Route 72
Rolla, MO 65401
Phone (573) 364-1934
3555 Sunset Office Dr
Ste C102
Saint Louis, MO 63127
Phone (314) 858-1858
4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625
Organizations & group practices 3
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.
-
- Dermatology Physician
- Arnold, MO
- NPI 1902378250
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1992746903
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1689935728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "C B 8123",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-942-6386",
"fax_number": "314-286-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 MID AMERICA PLZ STE 2300",
"address_2": "STE 2300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631290002",
"telephone_number": "314-942-6386",
"fax_number": "314-289-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIBNALL",
"first_name": "REBECCA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-05",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MO",
"license": "2013023315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.