DR. KELLEY SHIELDS CADDEL M.D. - NPI 1942464060

Q: What is Kelley Caddel's NPI number?

The NPI number for Kelley Caddel is 1942464060. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Q: What is Kelley Caddel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Caddel was last updated on February 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Kelley Shields Caddel M.d. NPPES

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

DR. KELLEY SHIELDS CADDEL M.D. (NPI 1942464060) is an individual pediatrics provider in Florissant, Missouri, licensed in Missouri (2012003226) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1942464060

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. KELLEY SHIELDS CADDELCredential: M.D.

Location Address11642 W FLORISSANT AVEFlorissant, MO 63033-6723

Mailing Address11642 W Florissant AveFlorissant, MO 63033-6723 · (314) 838-8220

Phone(314) 838-8220

Sole ProprietorYes

Enumeration DateJuly 17, 2008

Last NPPES UpdateFebruary 26, 2024

NPPES CertifiedFebruary 19, 2024

✔ NPI 1942464060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MO · 2012003226✔ Licensed in MO · 2008015402

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11642 W FLORISSANT AVE, Florissant, MO 63033

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Secondary Practice Location 1

Location 15701 Delmar BlvdSaint Louis, MO 63112-2617 · Phone (314) 367-7848

Other Identifiers 1

Other2012003226MO · State License

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. Kelley Shields Caddel 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 63033 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

$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.