Dr. Nicole Catherine Deptula

MD | Pediatric Neonatal-Perinatal Medicine | Female

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Complete Profile:

Dr. Nicole Catherine Deptula basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Neonatal-Perinatal Medicine
Provider Name :	Dr. Nicole Catherine Deptula
Credential :	MD
Gender :	Female

Business Address:

Dr. Nicole Catherine Deptula address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Pl, Div Ped Newborn Medicine Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-2683
Fax Number :	314-454-4633

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1639519861
NPI Entity Type :	Individual
First Enrolment Date :	02 Jul, 2013
Last Updated On :	15 Nov, 2021

Medicare Participation:

Dr. Nicole Catherine Deptula participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1153623699
Medicare Enrollment ID :	I20180521002723
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2009
Accepts Medicare?	Yes. Dr. Nicole Catherine Deptula accepts medicare insurance.

Group Practice Association:

Dr. Nicole Catherine Deptula is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Nicole Catherine Deptula is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Washington University	9830008770	2383	1 Childrens Pl Saint Louis, MO - 631101002	Yes
Washington University	9830008770	2383	1 Barnes Jew Hosp Plz Saint Louis, MO - 631101003 Ph: 3144546148	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Nicole Catherine Deptula are as mentioned. Primary taxonomy code for Dr. Nicole Catherine Deptula, MD is 2080N0001X (Pediatrics Neonatal-Perinatal Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	2013033654	MO
2080N0001X	Pediatrics Neonatal-Perinatal Medicine	Yes	2013033654	MO

Legacy Identifiers:

Other legacy medical identifiers of Dr. Nicole Catherine Deptula such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200028290	MEDICAID	MO

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1 Childrens Pl, Msc 8515-87-1200 Saint Louis, MO, 63110-1002 United States
Phone Number :	314-454-2683
Fax Number :	314-454-4633

Business Location:

Patients can refer following map for directions to Dr. Nicole Catherine Deptula practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.