ROBERT FARRELLY
NPI 1104249622
Social Worker - Clinical in Saint Louis, MO
About Robert Farrelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT FARRELLY (NPI 1104249622) is an individual clinical provider in Saint Louis, Missouri, licensed in Missouri (2013037930) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Robert Farrelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Robert Farrelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Silver Spring, MD 20910
- Reassigned Medicare billing, Missouri enrollment
Silver Spring, MD 20910
- Reassigned Medicare billing, Indiana and Missouri enrollments
Silver Spring, MD 20910
- Reassigned Medicare billing, Missouri and Texas enrollments
- 2 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 63141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Robert Farrelly's NPI number?
The NPI number for Robert Farrelly is 1104249622. It was assigned to this individual provider in the NPPES registry on February 4, 2014.
Where is Robert Farrelly located?
Robert Farrelly practices at 621 S New Ballas Rd #112a, Saint Louis, MO 63141. The listed phone number is (314) 779-9500.
What is Robert Farrelly's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Robert Farrelly enrolled in Medicare?
Yes. Robert Farrelly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Robert Farrelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Farrelly reassigns Medicare benefits to 3 organizations: Axis Healthcare Group (Silver Spring, MD), Mcs, PC (Silver Spring, MD) and Mindoula Health Inc. (Silver Spring, MD). 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 Robert Farrelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Farrelly accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Medica and UnitedHealthcare list Robert Farrelly 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 Robert Farrelly was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Robert Farrelly · NPI 1104249622
Clinical provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since February 4, 2014.
## Identity
- **NPI:** 1104249622 (Entity type: Individual)
- **Enumerated:** February 4, 2014
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 2013037930 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 621 S NEW BALLAS RD, #112A, Saint Louis, MO 63141-8232
- **Phone:** (314) 779-9500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Axis Healthcare Group (NPI 1326295098, Silver Spring, MD); Mcs, PC (NPI 1538717723, Silver Spring, MD); Mindoula Health Inc. (NPI 1558843813, Silver Spring, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104249622) · Data from the CMS NPPES public registry.