Individual provider Active NPI

Deena Basima Chihade, M.D.

  • Vascular Surgery Physician
  • Lake St Louis, MO
National Provider Identifier
1104113802
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2024041400 Issued in MO
Practice address
1300 HRC Plaza Dr
Lake St Louis, MO 63367-1869
Phone
(314) 755-1084
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2024041400 MO
Vascular Surgery Physician 2086S0129X 2024041400 MO Primary

Addresses

Primary practice location

1300 HRC Plaza Dr
Lake St Louis, MO 63367-1869

Mailing address

9 N Bemiston Ave Apt 221
Clayton, MO 63105-3430
Phone (314) 755-1084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241031000855 MO Practitioner - General Surgery 9537692454 Reassigns benefits to 1 organization
I20250121001135 IL Practitioner - General Surgery 9537692454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Southern Illinois University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Vascular Surgical Specialists PC 4 clinicians

Practice addresses (Care Compare)

2100 Madison Ave
Granite City, IL 62040-4713
Phone (618) 798-3000

2865 Netherton Dr
Saint Louis, MO 63136-4674
Phone (314) 755-1084

Hospital & facility affiliations

  • SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal41
Leg revascularization (restoring blood flow)1-10
Removal of tissue18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2024041400MOMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Vascular Surgical Specialists PC Vascular Surgery CurrentSince Oct 10, 2024 Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

1028 S Kirkwood Rd
Ste B
Kirkwood, MO 63122
Phone (314) 394-2930

1300 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (314) 755-1084

1901 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (314) 377-7669

211 N Lindbergh Blvd
Ste 100
Saint Louis, MO 63141
Phone (314) 205-3146

2865 Netherton Dr
Saint Louis, MO 63136
Phone (314) 653-0918

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EECCDD/Endpoint/EECCDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EECCDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1104113802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N BEMISTON AVE APT 221",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053430",
            "telephone_number": "314-755-1084",
            "fax_number": "314-755-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HRC PLAZA DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671869",
            "telephone_number": "314-755-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIHADE",
        "first_name": "DEENA",
        "middle_name": "BASIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2024041400",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2024041400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

Verify at the official NPI Registry.