DR. PETER MICHAEL RUMBOLO MD NPI 1821067828

NPI Information

  • NPI: 1821067828
  • Provider Name: DR. PETER MICHAEL RUMBOLO, MD
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Individual
  • Address: 621 S NEW BALLAS RD
    SUITE 7003-B
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 251-5570

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NPI Details

DR. Peter Michael Rumbolo, MD is a plastic surgery in Saint Louis, MO. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DR. Peter Michael Rumbolo, MD NPI is 1821067828. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

621 S NEW BALLAS RD
SUITE 7003-B
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-5570
Fax: (314) 251-5571

The enumeration date for this NPI number is 3/14/2006 and was last updated on 5/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic Surgery118585MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1001013866MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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