Active NPI
Deena Basima Chihade, M.D.
- Vascular Surgery Physician
- Lake St Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2024041400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Missouri Baptist Medical Center
- Barnes-Jewish St Peters Hospital
- St Lukes Hospital
- SSM St Joseph Hospital West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 41 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024041400 | MO | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Louis Vascular Surgical Specialists PC | Vascular Surgery | Current | 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
- https://fhir4.healow.com/fhir/r4/EECCDD/Endpoint/EECCDD
- 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.
-
- Vascular Surgery Physician
- Lake St Louis, MO
- NPI 1477246312
IL, MO, Vascular Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
Hospital
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.