NPIMap

Organization Active NPI

Plastic Surgery Consultants, LTD.

  • Plastic Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1871560227
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
PLASTIC SURGERY CONSULTANTS, LTD.
Practice address
10004 Kennerly Rd Ste 281B
Saint Louis, MO 63128-2109
Phone
(314) 842-5885
Fax
(314) 272-0866
NPI assigned
Mar 3, 2006
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Edmond B Cabbabe, M.D.NPI 1437126489
Title
President
Phone
(314) 272-0864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 281B
Saint Louis, MO 63128-2109

Mailing address

10004 Kennerly Rd Ste 283B
Saint Louis, MO 63128-2177
Phone (314) 272-0864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050217000655 MO Part B Supplier - Clinic/Group Practice 6901858968 Receives reassigned benefits from 7 practitioners
Practice locations: Saint Louis, MO; Saint Peters, MO

National Provider Directory

National Provider Directory

Locations

12277 De Paul Dr
#405S
Bridgeton, MO 63044
Phone (314) 739-8884

224 S Woods Mill Rd
Ste 450S
Chesterfield, MO 63017
Phone (314) 434-2454

10004 Kennerly Rd
Ste 365B
Saint Louis, MO 63128
Phone (314) 729-1350

10004 Kennerly Rd
Ste 367B
Saint Louis, MO 63128
Phone (314) 842-5885

2 Richmond Center Ct
Saint Peters, MO 63376
Phone (636) 397-2001

70 Jungermann Cir
Ste 102
Saint Peters, MO 63376
Phone (636) 441-7220

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1871560227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 283B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282177",
            "telephone_number": "314-272-0864",
            "fax_number": "314-272-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 281B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282109",
            "telephone_number": "314-842-5885",
            "fax_number": "314-272-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CONSULTANTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "CABBABE",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-272-0864",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "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 Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.