Individual provider Active NPI

Mary Smith Angelides, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1841819976
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2025031523 Issued in MO
Practice address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone
(314) 251-7498
Fax
(314) 251-3921
NPI assigned
Apr 9, 2020
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD486197 PA
Obstetrics & Gynecology Physician 207V00000X 2025031523 MO Primary

Addresses

Primary practice location

615 S New Ballas Rd
Saint Louis, MO 63141-8221

Mailing address

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-7498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241004000790 PA Practitioner - Obstetrics/Gynecology 8921539651 Reassigns benefits to 1 organization
I20260313004052 MO Practitioner - Obstetrics/Gynecology 8921539651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Chicago, IL 60677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025031523MOMDObstetrics & Gynecology Physician
MD486197PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2024 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 1, 2026 Accepting new patients
Mercy Womens Services LLC Obstetrics & Gynecology CurrentSince Mar 1, 2026 Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2024 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 1, 2026 Accepting new patients
West Penn Allegheny Health System Inc Past Accepting new patients

Locations

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

615 S New Ballas Rd
Ste 1400
Saint Louis, MO 63141
Phone (314) 251-7955

621 S New Ballas Rd
Ste 2007B
Saint Louis, MO 63141
Phone (314) 951-5000

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

4815 Liberty Ave
Ste GR25
Pittsburgh, PA 15224
Phone (855) 281-4463

Organizations & group practices 7

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1841819976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-7498",
            "fax_number": "314-251-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-7498",
            "fax_number": "314-251-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELIDES",
        "first_name": "MARY",
        "middle_name": "SMITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD486197",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2025031523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.