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NIRMOL MARY PHILIP M.D.
NPI 1992063515
Internal Medicine - Infectious Disease in Chesterfield, MO

Active since May 02, 2012PECOS EnrolledAccepts Medicare Assignment
222 S WOODS MILL RD STE 750, CHESTERFIELD, MO 63017(314) 205-6600(314) 434-5939 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2019, Mar 29, 2017 (2 updates tracked since 2017).

About Nirmol Mary Philip M.d. NPPES

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

NIRMOL MARY PHILIP M.D. (NPI 1992063515) is an individual infectious disease provider in Chesterfield, Missouri, licensed in Missouri (2019029123) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Tulane University School Of Medicine (2012).

NPPES Registry Identity

NPI1992063515
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameNIRMOL MARY PHILIPCredential: M.D.
Location Address222 S WOODS MILL RD STE 750Chesterfield, MO 63017-3625
Mailing Address4755 Ogletown Stanton RdNewark, DE 19718-2200
Phone(314) 205-6600
Fax(314) 434-5939
Sole ProprietorYes
Medical School CMSTulane University School Of MedicineGraduated 2012
Enumeration DateMay 2, 2012
Last NPPES UpdateSeptember 11, 20192 updates tracked since enumeration
✔ NPI 1992063515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MO · 2019029123
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License C1-0011357 (DE)
222 S WOODS MILL RD STE 750, Chesterfield, MO 63017
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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 Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nirmol Mary Philip M.d. 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 ID840410270
PECOS Enrollment IDI20191007000138
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nirmol Philip reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialists Of St Lukes LLC
0.6 mi
Internal Medicine
222 S WOODS MILL RD STE 750N
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 16 clinicians in this Medicare group
NPI 1396798054 (314) 205-6600
Christiana Care Health Services, Inc
798 mi
Family Medicine
722 YORKLYN RD STE 400
Hockessin, DE 19707
  • Reassigned Medicare billing, Delaware enrollment
  • Also billed through NPI 1245474329 (Delaware), NPI 1760811681 (Delaware)
  • 1,531 clinicians in this Medicare group
NPI 1134104565 (302) 235-2351
Einstein Practice Plan Inc
823 mi
Psychiatry
4200 MONUMENT AVE
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1144272733 (215) 456-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
136 services61 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.
102 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services50 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

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 63017 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 2

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

SUSHMA DANGI
Internal Medicine
222 S WOODS MILL RD STE 750
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6050
DONICA LIU BAKER MD, FACR
Internal Medicine (Rheumatology)
222 S WOODS MILL RD STE 750
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6600

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 Nirmol Philip's NPI number?

The NPI number for Nirmol Philip is 1992063515. It was assigned to this individual provider in the NPPES registry on May 2, 2012.

Where is Nirmol Philip located?

Nirmol Philip practices at 222 S Woods Mill Rd Ste 750, Chesterfield, MO 63017. The listed phone number is (314) 205-6600.

What is Nirmol Philip's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Nirmol Philip enrolled in Medicare?

Yes. Nirmol Philip 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.

Which organizations bill Medicare for Nirmol Philip's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nirmol Philip reassigns Medicare benefits to 3 organizations: Medical Specialists Of St Lukes LLC (Chesterfield, MO), Christiana Care Health Services, Inc (Hockessin, DE) and Einstein Practice Plan Inc (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nirmol Philip's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nirmol Philip accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 6 other insurers list Nirmol Philip 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 Nirmol Philip affiliated with any hospitals?

According to CMS data, Nirmol Philip is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Nirmol Philip was last updated on September 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.