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COLLEEN M. FITZPATRICK MD
NPI 1417155383
Surgery - Pediatric Surgery in Saint Louis, MO

Active since July 03, 2007PECOS Enrolled
1465 S GRAND BLVD, PEDIATRIC SURGERY, SAINT LOUIS, MO 63104(314) 577-5629(314) 268-6454 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colleen M. Fitzpatrick Md NPPES

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

COLLEEN M. FITZPATRICK MD (NPI 1417155383) is an individual pediatric surgery provider in Saint Louis, Missouri, licensed in Missouri (2012023503) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417155383
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameCOLLEEN M. FITZPATRICKCredential: MD
Location Address1465 S GRAND BLVD, PEDIATRIC SURGERYSaint Louis, MO 63104-1003
Mailing Address1465 S Grand Blvd, Pediatric SurgerySaint Louis, MO 63104-1003 · (314) 577-5629 · Fax (314) 268-6454
Phone(314) 577-5629
Fax(314) 268-6454
Sole ProprietorNo
Enumeration DateJuly 3, 2007
Last NPPES UpdateFebruary 26, 2016
✔ NPI 1417155383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MO · 2012023503
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1465 S GRAND BLVD, Saint Louis, MO 63104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen M. Fitzpatrick Md 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.

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070

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 Colleen Fitzpatrick's NPI number?

The NPI number for Colleen Fitzpatrick is 1417155383. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Colleen Fitzpatrick located?

Colleen Fitzpatrick practices at 1465 S Grand Blvd Pediatric Surgery, Saint Louis, MO 63104. The listed phone number is (314) 577-5629.

What is Colleen Fitzpatrick's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Colleen Fitzpatrick enrolled in Medicare?

Yes. Colleen Fitzpatrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colleen Fitzpatrick was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.