NPIMap

Individual provider Active NPI

Childebert St Louis, MD

  • Family Medicine Physician
  • New City, NY
National Provider Identifier
1780845834
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65603608 Issued in NY
Practice address
873 Route 45 Ste 102
New City, NY 10956-1123
Phone
(845) 375-0685
Fax
(845) 503-2363
NPI assigned
Jun 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 250239 NY
Family Medicine Physician 207Q00000X 65603608 NY Primary

Addresses

Primary practice location

873 Route 45 Ste 102
New City, NY 10956-1123

Mailing address

873 Route 45 Ste 102
New City, NY 10956-1123
Phone (845) 375-0685

Other practice location 1

873 Route
Suite 102
New City, NY 10956-2602
Phone (845) 375-0685

Other identifiers 1

IdentifierTypeStateIssuer
03040640MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100903000007 NY Practitioner - Family Practice 0244354819 Reassigns benefits to 5 organizations
I20180509000766 NJ Practitioner - Family Practice 0244354819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Podiatric Medicine, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Visiting Services, LLCGroup PAC ID 2961824842, 31 clinicians
Newburgh Physician Services PCGroup PAC ID 2264666767, 9 clinicians

Practice addresses (Care Compare)

108 Lime Kiln Rd
Suffern, NY 10901-2602
Phone (845) 476-1460

240 N Main St
Spring Valley, NY 10977-4020
Phone (845) 374-0410

70 Dubois St
Newburgh, NY 12550-4851
Phone (845) 561-4400

Hospital & facility affiliations

  • Marquis Certified Home Care, LLC Home health agency, Albany, NY, CCN 337418
  • Americare Certified Special Services, Inc Chha Home health agency, Brooklyn, NY, CCN 337290
  • Hudson Valley Hospice Hospice, Poughkeepsie, NY, CCN 331521
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
  • St Joseph'S Medical Center Hospital, Yonkers, NY, CCN 330006
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Taconic Rehabilitation And Nursing At Beacon Nursing home, Beacon, NY, CCN 335828
  • Taconic Rehabilitation And Nursing At Ulster Nursing home, Highland, NY, CCN 335803
  • Teresian House Nursing Home Co Inc Nursing home, Albany, NY, CCN 335627

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65603608NYMDFamily Medicine Physician
250239NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Services, LLC CurrentSince Jan 1, 2022 Accepting new patients
North Bergen Hospitalists Hospitalist CurrentSince Apr 1, 2018 Accepting new patients
Central Orange Physician Services Hospitalist CurrentSince Feb 1, 2016 Accepting new patients
Visiting Medical PC CurrentSince Dec 1, 2025 Accepting new patients
Newburgh Physician Services PC Hospitalist CurrentSince Jan 1, 2014 Accepting new patients
Teresian House Nursing Home Co Inc Past Accepting new patients
VS Servicer at Beacon, LLC Past Accepting new patients
St. Joseph'S Hospital, Yonkers Past Accepting new patients
Nuvance Health Medical Practice PC Past Accepting new patients
VS Servicer at Ulster, LLC Past Accepting new patients
St Josephs Hospital Yonkers Past Accepting new patients
Health Quest Medical Practice, PC Past Accepting new patients

Locations

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

66 W Gilbert St
Fl 1
Tinton Falls, NJ 07701

10 Hastings Dr
Beacon, NY 12508
Phone (845) 440-1600

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

240 N Main St
Spring Valley, NY 10977
Phone (845) 374-0410

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: cstlouis@hiemail.healtheconnections.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1780845834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 ROUTE 45 STE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561123",
            "telephone_number": "845-375-0685",
            "fax_number": "845-503-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 ROUTE 45 STE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561123",
            "telephone_number": "845-375-0685",
            "fax_number": "845-503-2363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "873 Route",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109562602",
            "country_code": "US",
            "telephone_number": "845-375-0685",
            "fax_number": "503-503-2363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST LOUIS",
        "first_name": "CHILDEBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "250239",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "65603608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03040640",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.