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DR. FERNANDO RAFAEL MEDINA CARBONELL M.D.
NPI 1467747659
Pediatrics - Pediatric Gastroenterology in Saint Louis, MO

Active since June 15, 2011PECOS Enrolled
81.57/100
CMS Quality Rating
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 268-4010(314) 268-2775 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2021, Oct 26, 2020, Jul 20, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Fernando Rafael Medina Carbonell M.d. NPPES

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

DR. FERNANDO RAFAEL MEDINA CARBONELL M.D. (NPI 1467747659) is an individual pediatric gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2020001532) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1467747659
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. FERNANDO RAFAEL MEDINA CARBONELLCredential: M.D.
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand Blvd, Dept Of PediatricsSaint Louis, MO 63104-1003 · (314) 268-4010 · Fax (314) 268-2775
Phone(314) 268-4010
Fax(314) 268-2775
Sole ProprietorNo
Enumeration DateJune 15, 2011
Last NPPES UpdateJanuary 18, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
✔ NPI 1467747659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in MO · 2020001532✔ Licensed in NE · 29938
Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

1465 S GRAND BLVD, Saint Louis, MO 63104
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14502 Medical DrSan Antonio, TX 78229-4402 · Phone (210) 358-4000
Location 2111 N 84th StOmaha, NE 68114-4101 · Phone (402) 955-5700
Location 3982161 Nebraska Medical CtrOmaha, NE 68198 · Phone (402) 559-2412

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fernando Rafael Medina Carbonell 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.

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.

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 Fernando Medina Carbonell's NPI number?

The NPI number for Fernando Medina Carbonell is 1467747659. It was assigned to this individual provider in the NPPES registry on June 15, 2011.

Where is Fernando Medina Carbonell located?

Fernando Medina Carbonell practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 268-4010.

What is Fernando Medina Carbonell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Fernando Medina Carbonell enrolled in Medicare?

Yes. Fernando Medina Carbonell is registered in the Medicare PECOS enrollment system.

What insurance does Fernando Medina Carbonell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Fernando Medina Carbonell 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 Fernando Medina Carbonell was last updated on January 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.