DR. ALICE KELUBIA AZZUN MD
NPI 1104393107
Obstetrics & Gynecology in Saint Louis, MO

Q: What is Alice Azzun's NPI number?

The NPI number for Alice Azzun is 1104393107. It was assigned to this individual provider in the NPPES registry on October 28, 2018. The provider is also known as Dr. Alice Kelubia Azzun MD.

Q: What is Alice Azzun's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Alice Azzun was last updated on June 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 28, 2018PECOS Enrolled

1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110(314) 363-1717 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2026, Oct 28, 2018 (2 updates tracked since 2018).

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About Dr. Alice Kelubia Azzun Md NPPES

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

DR. ALICE KELUBIA AZZUN MD (NPI 1104393107) is an individual obstetrics & gynecology provider in Saint Louis, Missouri, licensed in Missouri (2026024990) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104393107

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. ALICE KELUBIA AZZUNCredential: MD

Location Address1 BARNES JEW HOSP PLZSaint Louis, MO 63110-1003

Mailing Address1 Barnes Jew Hosp PlzSaint Louis, MO 63110-1003

Phone(314) 363-1717

Sole ProprietorNo

Enumeration DateOctober 28, 2018

Last NPPES UpdateJune 5, 20262 updates tracked since enumeration

NPPES CertifiedJune 5, 2026

✔ NPI 1104393107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MO · 2026024990

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1 BARNES JEW HOSP PLZ, Saint Louis, MO 63110

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Other Names 1

Professional Name (2)Dr. Alice Kelubia Azzun Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alice Kelubia Azzun 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.

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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

ALESSIO JOSEPH BEFFA MD

Pathology (Anatomic Pathology & Clinical Pathology)