DR. SOPHIA RIFKIN MD
NPI 1013546399
Pediatrics in Saint Louis, MO

Active since April 07, 2020PECOS Enrolled
1 CHILDRENS PL, DIV PED EMERGENCY MED, SAINT LOUIS, MO 63110(314) 454-2341(314) 454-4345 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2026, Mar 20, 2025, Mar 13, 2023 and 4 more (7 updates tracked since 2020).

About Dr. Sophia Rifkin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SOPHIA RIFKIN MD (NPI 1013546399) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2023026680) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013546399
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SOPHIA RIFKINCredential: MD
Location Address1 CHILDRENS PL, DIV PED EMERGENCY MEDSaint Louis, MO 63110-1002
Mailing Address625 S New Ballas Rd Ste B011Saint Louis, MO 63141-8240 · (314) 251-1604 · Fax (314) 251-1601
Fax(314) 454-4345
Sole ProprietorNo
Enumeration DateApril 7, 2020
Last NPPES UpdateAugust 10, 20267 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1013546399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2023026680
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1 CHILDRENS PL, Saint Louis, MO 63110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sophia Rifkin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Sophia Rifkin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1 CHILDRENS PL
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 628 clinicians in this Medicare group
General Acute Care Hospital
615 S NEW BALLAS RD
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 241 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Rifkin's NPI number?

The NPI number for Sophia Rifkin is 1013546399. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Sophia Rifkin located?

Sophia Rifkin practices at 1 Childrens Pl Div Ped Emergency Med, Saint Louis, MO 63110. The listed phone number is (314) 454-2341.

What is Sophia Rifkin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sophia Rifkin enrolled in Medicare?

Yes. Sophia Rifkin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sophia Rifkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Rifkin reassigns Medicare benefits to 2 organizations: Washington University (Saint Louis, MO) and Mercy Hospitals East Communities (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sophia Rifkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sophia Rifkin accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Sophia Rifkin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sophia Rifkin was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.