Active NPI
Lalithkumar K Chouhan, MD
- Cardiovascular Disease Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R2E98
- Practice address
- 11125 Dunn Rd
Ste 204
Saint Louis, MO 63136-6132 - Phone
- (314) 839-5522
- Fax
- (314) 839-5351
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036073350 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | R2E98 | MO | Primary |
Addresses
Primary practice location
11125 Dunn Rd
Ste 204
Saint Louis, MO 63136-6132
Mailing address
11125 Dunn Rd
Ste 204
Saint Louis, MO 63136-6132
Phone (314) 839-5522
Other practice location 1
12255 De Paul Dr Ste 600
Bridgeton, MO 63044-2515
Phone (314) 770-9888
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6287491 | Other | CIGNA | |
| 006029924 | Other | MO | MORRMCR |
| 5567V8816 | Other | HCUSA | |
| 229043 | Other | HLNK | |
| 2500129 | Other | UHC | |
| 27698 | Other | MO | MOBS/BLCHOICE |
| F18347 | Other | MERCY | |
| 000000012519 | Other | ESSENCE | |
| 060067892 | Other | IL | ILRRMCR |
| 203348701 | Medicaid | MO | |
| 431098908 | Other | TRICARE | |
| 1455V3831 | Other | GHP/CMR | |
| 4379428 | Other | AETNA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lchouhan16057@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | Christian Hospital Northeast- Northwest |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Memorial Dr Administration
Alton, IL 62002-6722
11125 Dunn Rd
Suite 204
Saint Louis, MO 63136-6188
Phone (314) 839-5522
12255 De Paul Dr
Suite 600
Bridgeton, MO 63044-2515
Phone (314) 209-5100
2 Memorial Dr
Suite 122
Alton, IL 62002-6723
Phone (618) 462-6612
Hospital & facility affiliations
- SSM St Joseph Health Center
- Alton Memorial Hospital
- Christian Hospital Northeast
- SSM St Joseph Hospital West
- Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 45 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alton Memorial Physician Billing Services LLC | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| SSM Health Care St Louis | Cardiovascular Disease | Current | Accepting new patients |
| Christian Hospital Physician Billing Services LLC | Cardiovascular Disease | Current | Accepting new patients |
| Osf Healthcare System | Current | Accepting new patients | |
| SSM Depaul Medical Group, Inc. | Past | Accepting new patients | |
| Saint Anthony'S Physician Group | Past | Accepting new patients | |
| Alton Memorial Physician Billing Services, LLC | Past | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
2 Memorial Dr
Ste 102
Alton, IL 62002
Phone (618) 288-0900
2 Memorial Dr
Ste 122
Alton, IL 62002
Phone (618) 462-6612
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
12255 De Paul Dr
Ste 600
Bridgeton, MO 63044
Phone (314) 209-5100
3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
14021 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 839-0910
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229
2920 Fee Fee Rd
Maryland Hts, MO 63043
Phone (314) 291-0121
2963 Doddridge Ave
Maryland Hts, MO 63043
Phone (314) 291-3909
1002 Peruque Crossing Ct
Ste 101
O Fallon, MO 63366
Phone (636) 294-5900
400 1st Capitol Dr
Ste 401
Saint Charles, MO 63301
Phone (314) 946-8700
1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
11133 Dunn Rd
Ste 2346
Saint Louis, MO 63136
Phone (314) 653-5125
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
11125 Dunn Rd
Ste 204
Saint Louis, MO 63136
Phone (314) 355-2300
Interoperability endpoints
- lchouhan16057@direct-ehr-ssmhc.com
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 10
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.
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1689828501
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
Cardiovascular Disease
-
- Multi-Specialty Clinic/Center
- Alton, IL
- NPI 1558783647
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
Cardiovascular Disease
-
- Surgery Physician
- Alton, IL
- NPI 1437551322
-
- Cardiovascular Disease Physician
- Alton, IL
- NPI 1801831045
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- Family Medicine Physician
- Florissant, MO
- NPI 1952312951
-
- Primary Care Clinic/Center
- Godfrey, IL
- NPI 1235550294
-
- Internal Medicine Physician
- Alton, IL
- NPI 1750497319
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
-
- General Acute Care Hospital
- Alton, IL
- NPI 1548278476
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1124011028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11125 DUNN RD",
"address_2": "STE 204",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366132",
"telephone_number": "314-839-5522",
"fax_number": "314-839-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11125 DUNN RD",
"address_2": "STE 204",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366132",
"telephone_number": "314-839-5522",
"fax_number": "314-839-5351"
}
],
"practiceLocations": [
{
"address_1": "12255 De Paul Dr Ste 600",
"address_purpose": "LOCATION",
"city": "Bridgeton",
"state": "MO",
"postal_code": "630442515",
"country_code": "US",
"telephone_number": "314-770-9888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOUHAN",
"first_name": "LALITHKUMAR",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036073350",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R2E98",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6287491",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MORRMCR",
"identifier": "006029924",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCUSA",
"identifier": "5567V8816",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HLNK",
"identifier": "229043",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2500129",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOBS/BLCHOICE",
"identifier": "27698",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "F18347",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ESSENCE",
"identifier": "000000012519",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILRRMCR",
"identifier": "060067892",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203348701",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "431098908",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP/CMR",
"identifier": "1455V3831",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4379428",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lchouhan16057@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "lchouhan16057@direct-ehr-ssmhc.com",
"address_1": "12255 De Paul Dr Ste 600",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "630442515",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "12255 De Paul Dr Ste 600",
"city": "Bridgeton",
"state": "MO",
"country_code": "US",
"postal_code": "630442515",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Christian Hospital Northeast- Northwest",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11125 Dunn Rd",
"address_2": "Ste 204",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366132",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.