MEDICARE: ROBERT P FERRARA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	R1B71	MO
2	207RC0000X	Cardiovascular Disease Physician	R1B71	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	R1B71	OTHER	MO	LICENSE

General Provider Information

NPI Number	:	1245222777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT P FERRARA MD

Provider Business Mailing Address
First Line	:	625 S NEW BALLAS RD STE 2015
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8253
Country	:	US
Telephone Number	:	314-251-1790
Fax Number	:	314-251-1790

Provider Business Practice Location Address
First Line	:	625 S NEW BALLAS RD
Second Line	:	SUITE 2015
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8253
Country	:	US
Telephone Number	:	314-251-1700
Fax Number	:	314-251-5804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	09/09/2025

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Directions to “ ROBERT P FERRARA MD” Practice Location

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