MICHAEL J OMBRELLO M.D.
NPI 1235330515
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since May 31, 2007PECOS Enrolled
3660 VISTA AVE, SUITE 203, SAINT LOUIS, MO 63110(314) 977-8833(314) 977-8818 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael J Ombrello M.d. NPPES

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

MICHAEL J OMBRELLO M.D. (NPI 1235330515) is an individual student in an organized health care education/training program in Saint Louis, Missouri, licensed in Missouri (2002011491) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235330515
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL J OMBRELLOCredential: M.D.
Location Address3660 VISTA AVE, SUITE 203Saint Louis, MO 63110-2540
Mailing Address1402 S Grand Blvd, Doisy Hall Rm 213aSaint Louis, MO 63104-1004 · (314) 977-8833 · Fax (314) 977-8818
Fax(314) 977-8818
Sole ProprietorNo
Enumeration DateMay 31, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1235330515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MO · 2002011491
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3660 VISTA AVE, Saint Louis, MO 63110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael J Ombrello M.d. 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.

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.

Internal Medicine
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine (Nephrology)
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine (Geriatric Medicine)
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine (Nephrology)
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3660 VISTA AVE
SAINT LOUIS, MO 63110
Internal Medicine
3660 VISTA AVE
SAINT LOUIS, MO 63110
Pharmacy (Community/Retail Pharmacy)
3660 VISTA AVE
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 Michael Ombrello's NPI number?

The NPI number for Michael Ombrello is 1235330515. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Michael Ombrello located?

Michael Ombrello practices at 3660 Vista Ave Suite 203, Saint Louis, MO 63110. The listed phone number is (314) 977-8833.

What is Michael Ombrello's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Ombrello enrolled in Medicare?

Yes. Michael Ombrello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Ombrello was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.