Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madeline Hannibal, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1770150955

Madeline Hannibal, MD is an Obstetrics/Gynecology in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2021, 5 years ago. Practices with Physician Groups Lc, a 524-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3009 N Ballas Rd Ste 387C
Saint Louis, MO 63131-2324
Phone: (314) 996-5900
Fax: (314) 996-5910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 202302979 (MO)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2025015798 (MO)

Record details

NPI number1770150955
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 7, 2021
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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