DR. CHAD MICHAEL RONHOLM M.D.
NPI 1306027909
Internal Medicine - Rheumatology in Saint Louis, MO
About Dr. Chad Michael Ronholm M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHAD MICHAEL RONHOLM M.D. (NPI 1306027909) is an individual rheumatology provider in Saint Louis, Missouri, licensed in Missouri (2010026420) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses 2
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 and accepts Medicare assignment
Dr. Chad Michael Ronholm M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Chad Ronholm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63119
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Clayton Medical Associates PC
- 3 clinicians in this Medicare group
Vandalia, IL 62471
- Reassigned Medicare billing, Illinois enrollment
- 652 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.
Areas of Expertise CMS Part B claims 22
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ssm Health St Mary's Hospital -Centralia
Acute Care Hospitals · Centralia, ILMemorial Hospital
Acute Care Hospitals · Belleville, ILFayette County Hospital
Critical Access Hospitals · Vandalia, ILBarnes Jewish Hospital
Acute Care Hospitals · Saint Louis, MOSsm Health St Mary's Hospital - St Louis
Acute Care Hospitals · Richmond Heights, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63119 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEBSTER GROVES, MO 63119
WEBSTER GROVES, MO 63119
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 Chad Ronholm's NPI number?
The NPI number for Chad Ronholm is 1306027909. It was assigned to this individual provider in the NPPES registry on November 25, 2007.
Where is Chad Ronholm located?
Chad Ronholm practices at 520 S Elm Ave, Saint Louis, MO 63119. The listed phone number is (314) 645-4434.
What is Chad Ronholm's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Chad Ronholm enrolled in Medicare?
Yes. Chad Ronholm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Chad Ronholm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chad Ronholm reassigns Medicare benefits to 2 organizations: Clayton Medical Associates, P.C. (Saint Louis, MO) and Sarah Bush Lincoln Health Center (Vandalia, IL). 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 Chad Ronholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chad Ronholm accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Chad Ronholm 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.
Is Chad Ronholm affiliated with any hospitals?
According to CMS data, Chad Ronholm is affiliated with Ssm Health St Mary's Hospital -Centralia, Memorial Hospital, Fayette County Hospital, Barnes Jewish Hospital and Ssm Health St Mary's Hospital - St Louis.
When was this NPI record last updated?
The NPPES record for Chad Ronholm was last updated on March 29, 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.