Christopher David Coriasso, DO
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Lake Saint Louis, MO
NPI 1194255455 · NPPES record last updated Dec 26, 2023
Key facts
- NPI
- 1194255455
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 2019000880 (MO)
- Practice address
- 100 Medical PLZ
Lake Saint Louis, MO 63367-1366 - Phone
- (636) 625-5200
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 17
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Health Care St Louis
Practice addresses (Care Compare)
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000
Hospital & facility affiliations
- SSM St Joseph Health Center
- SSM St Joseph Hospital West
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220707003667 | MO | Practitioner - Critical Care (Intensivists) | 5092071407 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Adult Critical Care, LLC | Critical Care Medicine | Current |
Accepting new patients |
| SSM Health Care St Louis | Current |
Accepting new patients | |
| SSM Health Care St. Louis | Internal Medicine | Current |
Accepting new patients |
| Cogent Healthcare of Missouri, Inc | Critical Care Medicine | Current |
Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Interoperability endpoints
- ccoriasso156060@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2019000880 | MO | Yes |
Addresses
Primary practice location
100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Mailing address
100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Phone (636) 625-5200
Other practice location 1
300 1st Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000
Other providers in Lake Saint Louis, MO
- Numan Choudhry
- Clarkson Optometry Inc
- Complete Health Chiropractic, L.L.C.
- Chris Comrie
- Joshua Justin Cook
- Cornerstone Caregiving East LLC
- Karissa Curtis
- Sky D Darrah
- Sreekala Radhamaniamma David
- Kaitlyn Davis
All providers in Lake Saint Louis, MO · Critical Care Medicine (Internal Medicine) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.