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DR. LEMUEL YIA SIBULO JR. D.O.
NPI 1104359470
Anesthesiology in Saint Louis, MO

Active since April 04, 2017PECOS Enrolled
1402 S GRAND BLVD, M260, SAINT LOUIS, MO 63104(314) 977-9853 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2023, Mar 31, 2023 (2 updates tracked since 2023).

About Dr. Lemuel Yia Sibulo Jr. D.o. NPPES

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

DR. LEMUEL YIA SIBULO JR. D.O. (NPI 1104359470) is an individual anesthesiology provider in Saint Louis, Missouri, licensed in Missouri (2021047392) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104359470
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. LEMUEL YIA SIBULO JR.Credential: D.O.
Location Address1402 S GRAND BLVD, M260Saint Louis, MO 63104-1004
Mailing Address11361 Corsica Mist AveLas Vegas, NV 89135-1338 · (503) 330-0389
Phone(314) 977-9853
Sole ProprietorNo
Enumeration DateApril 4, 2017
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1104359470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MO · 2021047392
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1402 S GRAND BLVD, Saint Louis, MO 63104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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. Lemuel Yia Sibulo Jr. D.o. 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 Lemuel Sibulo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aim Anesthesia LLC
14 mi
Anesthesiology
3550 MCKELVEY ROAD, PREMIER SURGERY CENTER
Bridgetown, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 49 clinicians in this Medicare group
NPI 1245685601 (314) 741-0911
Orthomed Staffing LLC
538 mi
Anesthesiology
15305 DALLAS PKWY STE 900
Addison, TX 75001
  • Reassigned Medicare billing, Missouri enrollment
  • 175 clinicians in this Medicare group
NPI 1225514276 (469) 863-9978

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
60 services54 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
16 services16 patients
Anesthesia for x-ray on arteries 01924
Anesthesia for x-ray on arteries is a procedure to ensure comfort during imaging tests. A medicine is given to make you relaxed or sleep, minimizing any discomfort. It's typically used for invasive procedures to examine arteries for blockages or other issues.
13 services11 patients

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.

HALA YAMOUT M.D.
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
VICTORIA M WITTGEN
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9870
ADAM BALES D.O.
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
ALLISON NICOLE PODSEDNIK GARDNER MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3811
DR. KATHERINE JASKOWIAK ROBBINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
DR. VIVIAN MAI HATHUC D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
TERRY J BUJNAK JR. DO
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3375
NEELOFUR NAZEER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-8475

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 Lemuel Sibulo's NPI number?

The NPI number for Lemuel Sibulo is 1104359470. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Lemuel Sibulo located?

Lemuel Sibulo practices at 1402 S Grand Blvd M260, Saint Louis, MO 63104. The listed phone number is (314) 977-9853.

What is Lemuel Sibulo's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Lemuel Sibulo enrolled in Medicare?

Yes. Lemuel Sibulo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lemuel Sibulo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lemuel Sibulo reassigns Medicare benefits to 2 organizations: Aim Anesthesia LLC (Bridgetown, MO) and Orthomed Staffing LLC (Addison, TX). 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 Lemuel Sibulo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lemuel Sibulo accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Lemuel Sibulo 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 Lemuel Sibulo was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.