Steven Mark Abbadessa, D.O.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

R5J14 Issued in MO

Practice address

456 N New Ballas Rd Ste 154
Saint Louis, MO 63141-6827

Phone

(314) 966-7570

Fax

(314) 966-7788

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 23, 2018 through Aug 23, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Rectal Diagnostics & Treatment Center

  • Colon & Rectal Surgery Physician
  • Saint Louis, MO
  • NPI 1295869824
  NPD (past) Authorized official

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1881668564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 154",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416827",
            "telephone_number": "314-966-7570",
            "fax_number": "314-966-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 154",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416827",
            "telephone_number": "314-966-7570",
            "fax_number": "314-966-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBADESSA",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "R5J14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• ABA Village Care LLC
• Joanna Chineme Abaraoha, MD
• Getahun Abate, M.D.
• Mallory Shiver Abate, M.D.
• Anna Marie Abbacchi, MA, MS, LPC
• Abbas Chosen Wellness Group
• Amer Hussein Abbas, MD
• Fizza Abbas, MD
• Hajira Abbasi, DO
• Mohammed Munam Abbasi, MD

• Colon & Rectal Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Colon & Rectal Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.