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DR. EDGAR THEODORE TUMANGUIL POLINTAN M.D.
NPI 1477230670
Student in an Organized Health Care Education/Training Program in St. Louis, MO

Active since June 29, 2023PECOS Enrolled
6420 CLAYTON ROAD SSM HEALTH ST. MARY'S HOSPITAL-ST LOU, DEPARTMENT OF INTERNAL MEDICINE, ST. LOUIS, MO 63117(314) 768-8778 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Edgar Theodore Tumanguil Polintan M.d. NPPES

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

DR. EDGAR THEODORE TUMANGUIL POLINTAN M.D. (NPI 1477230670) is an individual student in an organized health care education/training program in St. Louis, Missouri, licensed in Missouri (2023016707) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477230670
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EDGAR THEODORE TUMANGUIL POLINTANCredential: M.D.
Location Address6420 CLAYTON ROAD SSM HEALTH ST. MARY'S HOSPITAL-ST LOU, DEPARTMENT OF INTERNAL MEDICINESt. Louis, MO 63117
Mailing Address6420 Clayton Road Ssm Health St. Mary's Hospital-st Lou, Department Of Internal MedicineSt. Louis, MO 63117 · (314) 768-8778
Phone(314) 768-8778
Sole ProprietorNo
Enumeration DateJune 29, 2023
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1477230670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MO · 2023016707
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6420 CLAYTON ROAD SSM HEALTH ST. MARY'S HOSPITAL-ST LOU, St. Louis, MO 63117
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Other Identifiers 1

Other2023016707MO · Missouri Physician Licensenumber

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. Edgar Theodore Tumanguil Polintan 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.

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 Edgar Theodore Polintan's NPI number?

The NPI number for Edgar Theodore Polintan is 1477230670. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Edgar Theodore Polintan located?

Edgar Theodore Polintan practices at 6420 Clayton Road Ssm Health St. Mary's Hospital-St Lou Department Of Internal Medicine, St. Louis, MO 63117. The listed phone number is (314) 768-8778.

What is Edgar Theodore Polintan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Edgar Theodore Polintan enrolled in Medicare?

Yes. Edgar Theodore Polintan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edgar Theodore Polintan was last updated on December 27, 2023. 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.