Active NPI
Madeline Kay Giacalone, D.O.
- Obstetrics & Gynecology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2017016481
- Practice address
- 10012 Kennerly Rd Ste 405
Saint Louis, MO 63128-2197 - Phone
- (314) 378-9864
- NPI assigned
- Jun 25, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 125.062601 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 2017016481 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd Ste 405
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd Ste 405
Saint Louis, MO 63128-2197
Phone (314) 378-9864
Other practice location 1
415 N 9th St
Springfield, IL 62702-5303
Phone (217) 545-5117
Other practice location 2
415 N 9th St
Springfield, IL 62702-5303
Phone (217) 545-5117
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
- Obstetrics/Gynecology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 S New Ballas Rd
Suite 1017B
Saint Louis, MO 63141-8264
Phone (314) 292-7080
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017016481 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 1017B
Saint Louis, MO 63141
Phone (314) 292-7080
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
10012 Kennerly Rd
Ste 405
Saint Louis, MO 63128
Phone (314) 378-9864
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1831539667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 405",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-378-9864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 405",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-378-9864"
}
],
"practiceLocations": [
{
"address_1": "415 N 9th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025303",
"country_code": "US",
"telephone_number": "217-545-5117",
"fax_number": "217-545-9217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 N 9th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025303",
"country_code": "US",
"telephone_number": "217-545-5117",
"fax_number": "217-545-9217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIACALONE",
"first_name": "MADELINE",
"middle_name": "KAY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "125.062601",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2017016481",
"primary": true
}
],
"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 Mar 17, 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.