NPIMap

Individual provider Active NPI

Michael C Treisman, MD

  • Internal Medicine Physician
  • Florissant, MO
National Provider Identifier
1184685455
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
105350 Issued in MO
Practice address
91 Florissant Oaks Shop Ctr
Florissant, MO 63031-3934
Phone
(314) 831-8600
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 105350 MO Primary

Addresses

Primary practice location

91 Florissant Oaks Shop Ctr
Florissant, MO 63031-3934

Mailing address

91 Florissant Oaks Shop Ctr
Florissant, MO 63031-3934
Phone (314) 831-8600

Other identifiers 1

IdentifierTypeStateIssuer
110175876OtherMORAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000054 MO Practitioner - Internal Medicine 9638276652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

15945 Clayton Rd
Suite 340
Ballwin, MO 63011-2492
Phone (636) 256-5130

7212 Balson Ave
Saint Louis, MO 63130-3001

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Saint Louis, MO, CCN 267565
  • Mercy Hospice Hospice, Saint Louis, MO, CCN 261510
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105350MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
Mercy Clinic East Communities CurrentSince Jul 1, 2007 Accepting new patients
BC Missouri Emergency Physicians, LLP Past Accepting new patients
SSM Health Care St. Louis Internal Medicine Past Accepting new patients

Locations

15945 Clayton Rd
Ste 340
Ballwin, MO 63011
Phone (636) 256-5130

91 Florissant Oaks Shop Ctr
Florissant, MO 63031
Phone (314) 831-8600

637 Dunn Rd
Ste 102A
Hazelwood, MO 63042
Phone (314) 831-8600

119 Baxter Shops St
Manchester, MO 63011
Phone (636) 391-5652

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Interoperability endpoints

  • Direct secure messaging: mtreisman1357@directc.mercy.net

Organizations & group practices 5

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 10

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1184685455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FLORISSANT OAKS SHOP CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630313934",
            "telephone_number": "314-831-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 FLORISSANT OAKS SHOP CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630313934",
            "telephone_number": "314-831-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREISMAN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "105350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110175876",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.