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DR. ALFREDO CUSTODIO M.D.
NPI 1144427469
Surgery in Saint Louis, MO

Active since June 29, 2007
11133 DUNN RD, SAINT LOUIS, MO 63136(314) 653-5744(314) 653-5613 Get Directions Write a Review

NPPES record last updated: October 26, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alfredo Custodio M.d. NPPES

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

DR. ALFREDO CUSTODIO M.D. (NPI 1144427469) is an individual surgery provider in Saint Louis, Missouri, licensed in Missouri (MDR7797) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1144427469
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ALFREDO CUSTODIOCredential: M.D.
Location Address11133 DUNN RDSaint Louis, MO 63136-6119
Mailing Address11133 Dunn RdSaint Louis, MO 63136-6119 · (314) 653-5744 · Fax (314) 653-5613
Phone(314) 653-5744
Fax(314) 653-5613
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateOctober 26, 2007
✔ NPI 1144427469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · MDR7797
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
11133 DUNN RD, Saint Louis, MO 63136
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Other Identifiers 2

Medicare PIN45050212
Medicare UPINE34551

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.

ALEXANDER SEXTRO CAA
Anesthesiologist Assistant
11133 DUNN RD
SAINT LOUIS, MO 63136
St. Louis County (314) 653-5000
DR. HILTON I PRICE MD
Radiology (Diagnostic Radiology)
11133 DUNN RD, DEPT RADIOLOGY
SAINT LOUIS, MO 63136
St. Louis County (314) 362-7200
LESLEY ANN HANSON D.O.
Internal Medicine (Critical Care Medicine)
11133 DUNN RD
SAINT LOUIS, MO 63136
St. Louis County (314) 317-0600
MARY A. RUDLOFF M.D.
Pathology (Anatomic Pathology)
11133 DUNN RD, DEPT. OF PATHOLOGY
SAINT LOUIS, MO 63136
St. Louis County (314) 653-5630
ELYSHA M KACHEVAS
Nurse Practitioner (Family)
11133 DUNN RD, SUITE 2335
SAINT LOUIS, MO 63136
St. Louis County (314) 653-5007
DR. GRACE ELIZABETH MONTES MD
Emergency Medicine
11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136
St. Louis County (314) 362-9123
MS. CHRISTIE MARIE KEEN FNP
Nurse Practitioner
11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136
St. Louis County (314) 362-9123
CHRISTIAN HOSPITAL NORTHEAST
Psychiatric Unit
11133 DUNN RD
SAINT LOUIS, MO 63136
St. Louis County (314) 653-5582

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 Alfredo Custodio's NPI number?

The NPI number for Alfredo Custodio is 1144427469. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Alfredo Custodio located?

Alfredo Custodio practices at 11133 Dunn Rd, Saint Louis, MO 63136. The listed phone number is (314) 653-5744.

What is Alfredo Custodio's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Alfredo Custodio was last updated on October 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.