HELEN S KORNBLUM MD
NPI 1619903390
Internal Medicine in Saint Louis, MO

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
5000 CEDAR PLAZA PKWY STE 300, SAINT LOUIS, MO 63128(636) 282-0380 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Helen S Kornblum Md NPPES

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

HELEN S KORNBLUM MD (NPI 1619903390) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (R2H62) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1986).

NPPES Registry Identity

NPI1619903390
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHELEN S KORNBLUMCredential: MD
Location Address5000 CEDAR PLAZA PKWY STE 300Saint Louis, MO 63128-3891
Mailing Address5000 Cedar Plaza Pkwy Ste 300Saint Louis, MO 63128-3891 · (636) 282-0380 · Fax (877) 592-0806
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1986
Enumeration DateJune 24, 2006
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
NPI 1619903390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · R2H62
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.
Also ListedHospitalistTaxonomy 208M00000X · License R2H62 (MO)
5000 CEDAR PLAZA PKWY STE 300, Saint Louis, MO 63128

Other Identifiers 2

Medicaid1619903390MO
Medicaid1619903390IL

Accepted Insurance

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

Helen S Kornblum 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 ID244215788
PECOS Enrollment IDI20040621000406
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 2

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.

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.
75 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services23 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims34 services$6.25 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier11 claims63 services$1.65 avg. paid by Medicare
Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$2.76 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$17.77 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$8.53 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 11

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

Internal Medicine
5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS, MO 63128
Internal Medicine
5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS, MO 63128
Internal Medicine
5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS, MO 63128
Internal Medicine
5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS, MO 63128
Internal Medicine
5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS, MO 63128
Internal Medicine
5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS, MO 63128
Nurse Practitioner (Family)
5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS, MO 63128
Nurse Practitioner (Family)
5000 CEDAR PLAZA PKWY STE 300
SAINT LOUIS, MO 63128

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 Helen Kornblum's NPI number?

The NPI number for Helen Kornblum is 1619903390. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Helen Kornblum located?

Helen Kornblum practices at 5000 Cedar Plaza Pkwy Ste 300, Saint Louis, MO 63128. The listed phone number is (636) 282-0380.

What is Helen Kornblum's specialty?

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

Is Helen Kornblum enrolled in Medicare?

Yes. Helen Kornblum 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.

What insurance does Helen Kornblum 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 2 other insurers list Helen Kornblum 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.

Is Helen Kornblum affiliated with any hospitals?

According to CMS data, Helen Kornblum is affiliated with Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Helen Kornblum was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.