NPIMap

Organization Active NPI

Cape Girardeau Urology Associates, Inc.

  • Urology Physician
  • Cape Girardeau, MO
National Provider Identifier
1194734582
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CAPE GIRARDEAU UROLOGY ASSOCIATES, INC.
Practice address
3 Doctors Park
Cape Girardeau, MO 63703-4927
Phone
(573) 334-7748
Fax
(573) 334-5724
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Mrs. Lisa Nussbaum
Title
Office Manager
Phone
(573) 803-3588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

3 Doctors Park
Cape Girardeau, MO 63703-4927

Mailing address

3 Doctors Park
Cape Girardeau, MO 63703-4927
Phone (573) 334-7748

Other identifiers 4

IdentifierTypeStateIssuer
628OtherBLUE CROSS BLUE SHIELD
500616602MedicaidMO
CP7010OtherRAILROAD MEDICARE
107662OtherHEALTHLINK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070803000258 MO Part B Supplier - Clinic/Group Practice 6608967716 Receives reassigned benefits from 15 practitioners
Practice locations: Cape Girardeau, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0666475Cape Girardeau Urology Associates, Inc3 Doctors Park, Cape Girardeau, MO 63703AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

3 Doctors Park
Cpe Girardeau, MO 63703
Phone (573) 334-7748

Interoperability endpoints

  • Direct secure messaging: deborahlascola@cgua.allscriptsdirect.net
  • Direct secure messaging: austinroubidoux@cgua.allscriptsdirect.net
  • Direct secure messaging: michellewelker@cgua.allscriptsdirect.net
  • FHIR API: https://app.meldrx.com/api/fhir/uc06039_capegirardeauuroassoc
  • Direct secure messaging: gregghallman@cgua.allscriptsdirect.net
  • Direct secure messaging: johnhall@cgua.allscriptsdirect.net
  • Direct secure messaging: karenabt@cgua.allscriptsdirect.net
  • Direct secure messaging: tylerhaden@cgua.allscriptsdirect.net
  • Direct secure messaging: jamesoutman@cgua.allscriptsdirect.net
  • Direct secure messaging: mitchellogles@cgua.allscriptsdirect.net
  • Direct secure messaging: vincenzogalati@cgua.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1194734582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-334-7748",
            "fax_number": "573-388-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-334-7748",
            "fax_number": "573-334-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE GIRARDEAU UROLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-803-3588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "628",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500616602",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CP7010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "107662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.