Individual provider Active NPI

Rebecca Ann Rockamann, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1780143776
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2022002107 Issued in MO
Practice address
3009 N Ballas Rd Ste 257C
Saint Louis, MO 63131-2308
Phone
(314) 569-2112
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2022002107 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3009 N Ballas Rd Ste 257C
Saint Louis, MO 63131-2308

Mailing address

1465 S. Grand Blvd.
St. Louis, MO 63104
Phone (314) 268-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022002107MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baer Pediatrics, LLC Pediatrics PastSince May 21, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1780143776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 S. GRAND BLVD.",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63104",
            "telephone_number": "314-268-4070",
            "fax_number": "314-268-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD STE 257C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312308",
            "telephone_number": "314-569-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKAMANN",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2022002107",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.