Individual provider Active NPI

Abigail Suntrup, DO

  • Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1750960779
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
2982 Issued in NE
Practice address
522 N New Ballas Rd Ste 300
Saint Louis, MO 63141-6840
Phone
(314) 405-9556
NPI assigned
Apr 6, 2021
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 2982 NE Primary

Addresses

Primary practice location

522 N New Ballas Rd Ste 300
Saint Louis, MO 63141-6840

Mailing address

522 N New Ballas Rd Ste 300
Saint Louis, MO 63141-6840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20250908000451 NE Practitioner - Obstetrics/Gynecology 7113429341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6901 Mercy Rd
Omaha, NE 68106-2621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2982NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Paul VI Institute Physicians PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

6901 Mercy Rd
Omaha, NE 68106
Phone (402) 390-6600

Organizations & group practices 1

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1750960779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416840",
            "telephone_number": "314-405-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNTRUP",
        "first_name": "ABIGAIL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NE",
            "license": "2982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.