1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Pathology
  6. NPI Profile

DR. DANIELA HERMELIN M.D.
NPI 1396159091
Pathology - Anatomic Pathology & Clinical Pathology in Saint Louis, MO

Active since June 20, 2014PECOS Enrolled
81.57/100
CMS Quality Rating
1402 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-4547(314) 977-7615 Get Directions Write a Review

NPPES record last updated: February 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2021, Jan 12, 2021, Feb 4, 2016 (3 updates tracked since 2016).

About Dr. Daniela Hermelin M.d. NPPES

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

DR. DANIELA HERMELIN M.D. (NPI 1396159091) is an individual anatomic pathology & clinical pathology provider in Saint Louis, Missouri, licensed in Missouri (2018001272) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396159091
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. DANIELA HERMELINCredential: M.D.
Location Address1402 S GRAND BLVDSaint Louis, MO 63104-1004
Mailing Address1402 S Grand BlvdSaint Louis, MO 63104-1004 · (314) 577-8475
Phone(314) 977-4547
Fax(314) 977-7615
Sole ProprietorYes
Enumeration DateJune 20, 2014
Last NPPES UpdateFebruary 5, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2021
✔ NPI 1396159091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in MO · 2018001272
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1402 S GRAND BLVD, Saint Louis, MO 63104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniela Hermelin 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.

Medicare Billing Reassignment

Medicare enrollment records show Daniela Hermelin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Cardinal Glennon Childrens Hospital
13 mi
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1073568226 (314) 268-4070

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

HALA YAMOUT M.D.
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
VICTORIA M WITTGEN
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9870
ADAM BALES D.O.
Anesthesiology
1402 S GRAND BLVD, M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
ALLISON NICOLE PODSEDNIK GARDNER MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3811
DR. KATHERINE JASKOWIAK ROBBINS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
DR. VIVIAN MAI HATHUC D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-4547
TERRY J BUJNAK JR. DO
Orthopaedic Surgery
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-3375
NEELOFUR NAZEER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1402 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-8475

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 Daniela Hermelin's NPI number?

The NPI number for Daniela Hermelin is 1396159091. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Daniela Hermelin located?

Daniela Hermelin practices at 1402 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 977-4547.

What is Daniela Hermelin's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Daniela Hermelin enrolled in Medicare?

Yes. Daniela Hermelin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniela Hermelin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniela Hermelin reassigns Medicare benefits to Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). The 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 Daniela Hermelin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniela Hermelin accept?

Health plans from Oscar Insurance Company list Daniela Hermelin 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.

When was this NPI record last updated?

The NPPES record for Daniela Hermelin was last updated on February 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.