DR. EBUNOLUWA EWERE OTEGBEYE MD
NPI 1720508666
Surgery in Saint Louis, MO

Q: What is Ebunoluwa Otegbeye's NPI number?

The NPI number for Ebunoluwa Otegbeye is 1720508666. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Q: What is Ebunoluwa Otegbeye's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment

1008 S SPRING AVE, SAINT LOUIS, MO 63110(314) 977-3530 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Oct 15, 2019, Jun 21, 2017 (3 updates tracked since 2017).

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About Dr. Ebunoluwa Ewere Otegbeye Md NPPES

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

DR. EBUNOLUWA EWERE OTEGBEYE MD (NPI 1720508666) is an individual surgery provider in Saint Louis, Missouri, licensed in Missouri (2019021293) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Ssm St Clare Health Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720508666

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. EBUNOLUWA EWERE OTEGBEYECredential: MD

Location Address1008 S SPRING AVESaint Louis, MO 63110-2520

Mailing Address1008 S Spring AveSaint Louis, MO 63110-2520

Phone(314) 977-3530

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 21, 2017

Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration

NPPES CertifiedAugust 5, 2025

✔ NPI 1720508666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MO · 2019021293

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1008 S SPRING AVE, Saint Louis, MO 63110

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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 and accepts Medicare assignment

Dr. Ebunoluwa Ewere Otegbeye 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 ID2365714136

PECOS Enrollment IDI20250715002744

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.

Hospital Affiliations CMS Care Compare 3

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

Ssm St Clare Health Center

Acute Care Hospitals · Fenton, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260081

Location1015 BowlesFenton, MO 63026 · Jefferson County

Emergency services Birthing friendly

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

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. MANAR SHMAIS MD

Internal Medicine (Gastroenterology)