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DR. RONALD ST LOUIS MD
NPI 1336153303
Internal Medicine in Bronx, NY

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
10.08/100
CMS Quality Rating
3327 BAINBRIDGE AVE, BRONX, NY 10467(718) 324-6365(718) 881-5700 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ronald St Louis Md NPPES

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

DR. RONALD ST LOUIS MD (NPI 1336153303) is an individual internal medicine provider in Bronx, New York, licensed in New York (173155) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of New York University School Of Medicine (1986).

NPPES Registry Identity

NPI1336153303
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RONALD ST LOUISCredential: MD
Location Address3327 BAINBRIDGE AVEBronx, NY 10467-2801
Mailing Address1333a North Ave, P.m.b.709New Rochelle, NY 10804-2120 · (718) 324-6365 · Fax (718) 881-5700
Phone(718) 324-6365
Fax(718) 881-5700
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 1986
Enumeration DateJuly 27, 2006
Last NPPES UpdateMay 19, 2022
✔ NPI 1336153303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 173155
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3327 BAINBRIDGE AVE, Bronx, NY 10467
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Other Identifiers 11

Other0401897NY · United Healthcare Medicar
Other13406262101NY · 1199 Nat'l Benefit Fund
Other3208825NY · Aetna-hmo Provider Number
Other39K682NY · Bc Bs Provider Number
Other7886075NY · Aetna Ppo
OtherP2486790NY · Oxford Provider Number
Other0H2808NY · Healthnet Provider Number
Medicaid01569566NY
Other173155-C14NY · Healthfirst Provider #
Other1782397NY · United Healthcare
Other432899N1NY · Cigna Provider Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ronald St Louis Md 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.

PECOS PAC ID7517906878
PECOS Enrollment IDI20050427000423
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,194 services158 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
240 services104 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
108 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services45 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
42 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

10.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost33.62

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier21 claims21 services$21.54 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier21 claims21 services$9.37 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers15 claims312 services$9.38 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier61 claims1,213 services$4.54 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier42 claims15,143 services$0.27 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims11 services$52.25 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANET U. GORKIN M.D.
Internal Medicine
3327 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 881-5100
INTERNAL MEDICINE AND NEPHROLOGY OF NEW YORK, PLLC
Internal Medicine (Nephrology)
3327 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 881-5100

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 Ronald St Louis's NPI number?

The NPI number for Ronald St Louis is 1336153303. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Ronald St Louis located?

Ronald St Louis practices at 3327 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 324-6365.

What is Ronald St Louis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ronald St Louis enrolled in Medicare?

Yes. Ronald St Louis 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.

Is Ronald St Louis affiliated with any hospitals?

According to CMS data, Ronald St Louis is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Ronald St Louis was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.