Individual provider Active NPI

Lisa Rae Mohrman, M.D.

  • Surgery Physician
  • Richmond Heights, MO
National Provider Identifier
1144465519
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2013045164 Issued in MO
Practice address
6400 Clayton Rd Ste 303
Richmond Heights, MO 63117-1850
Phone
(314) 408-7756
Fax
(314) 207-4943
NPI assigned
Dec 12, 2008
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2013045164 MO Primary

Addresses

Primary practice location

6400 Clayton Rd Ste 303
Richmond Heights, MO 63117-1850

Mailing address

PO Box 959354
Saint Louis, MO 63195-9354
Phone (573) 705-1298

Other practice location 1

1103 W Liberty St Ste 300
Farmington, MO 63640-1921
Phone (573) 705-1298

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140616001758 MO Practitioner - General Surgery 9537383427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3221 McKelvey Rd
Suite 301
Bridgeton, MO 63044-2551

660 Mason Ridge Ctr Dr
Suite 300
Saint Louis, MO 63141

7452 Amherst Ave
Saint Louis, MO 63130-2933

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013045164MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Louis Surgical LLC Surgery CurrentSince Feb 1, 2026 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

6400 Clayton Rd
Ste 303
Saint Louis, MO 63117
Phone (314) 488-0300

Interoperability endpoints

  • Direct secure messaging: lmohrman112083@direct-ehr-ssmhc.com

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1144465519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959354",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959354",
            "telephone_number": "573-705-1298",
            "fax_number": "573-760-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CLAYTON RD STE 303",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171850",
            "telephone_number": "314-408-7756",
            "fax_number": "314-207-4943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 W Liberty St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401921",
            "country_code": "US",
            "telephone_number": "573-705-1298",
            "fax_number": "573-760-8293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHRMAN",
        "first_name": "LISA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2013045164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1103 W Liberty St Ste 300",
            "city": "Farmington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "636401921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

Verify at the official NPI Registry.