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MADELINE HANNIBAL MD
NPI 1770150955
Internal Medicine in Saint Louis, MO

Active since June 07, 2021PECOS EnrolledAccepts Medicare Assignment
3009 N BALLAS RD STE 387C, SAINT LOUIS, MO 63131(314) 996-5900(314) 996-5910 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Nov 26, 2025, Jun 24, 2025 and 3 more (6 updates tracked since 2021).

About Madeline Hannibal Md NPPES

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

MADELINE HANNIBAL MD (NPI 1770150955) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (202302979) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Missouri Baptist Medical Center, and is a graduate of Saint Louis University School Of Medicine (2021).

NPPES Registry Identity

NPI1770150955
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMADELINE HANNIBALCredential: MD
Location Address3009 N BALLAS RD STE 387CSaint Louis, MO 63131-2324
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (314) 996-5900 · Fax (314) 996-5910
Phone(314) 996-5900
Fax(314) 996-5910
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2021
Enumeration DateJune 7, 2021
Last NPPES UpdateDecember 8, 20256 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1770150955 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 · 202302979
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 ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2025015798 (MO)
3009 N BALLAS RD STE 387C, Saint Louis, MO 63131
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Madeline Hannibal 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 ID2466854492
PECOS Enrollment IDI20260120000435
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.

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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.

Other Providers at the Same Location NPPES 12

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

DR. SUMERA YOUNUS M.D.
Family Medicine
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5900
TAYLOR MARIE SACHTLEBEN PA-C
Physician Assistant
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-7220
DR. MARK CHARLES HOWARD MD
Family Medicine
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5900
DR. PUSPALATHA SAJJA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5900
DOUGLAS H POGUE
Internal Medicine
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5900
MEGHAN CAROL BURK FNP
Nurse Practitioner (Family)
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5900
ROGER R GUILLEMETTE M.D.
Internal Medicine
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5900
MS. RAJI P VARUGHESE ANP
Nurse Practitioner (Adult Health)
3009 N BALLAS RD STE 387C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-5900

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 Madeline Hannibal's NPI number?

The NPI number for Madeline Hannibal is 1770150955. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Madeline Hannibal located?

Madeline Hannibal practices at 3009 N Ballas Rd Ste 387C, Saint Louis, MO 63131. The listed phone number is (314) 996-5900.

What is Madeline Hannibal's specialty?

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

Is Madeline Hannibal enrolled in Medicare?

Yes. Madeline Hannibal 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.

Is Madeline Hannibal affiliated with any hospitals?

According to CMS data, Madeline Hannibal is affiliated with Missouri Baptist Medical Center, Barnes-Jewish West County Hospital and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Madeline Hannibal was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.