Active NPI
Timothy R. Soncasie, M.D.
- Internal Medicine Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 111504
- Practice address
- 900 W Nifong Blvd Ste 101
Columbia, MO 65203 - Phone
- (573) 499-9009
- Fax
- (573) 499-4400
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 111504 | MO | Primary |
| Pediatrics Physician | 208000000X | 111504 | MO |
Addresses
Primary practice location
900 W Nifong Blvd Ste 101
Columbia, MO 65203
Mailing address
900 W Nifong Blvd Ste 101
Columbia, MO 65203-4469
Phone (573) 499-9009
Other practice location 1
401 N Keene St
Columbia, MO 65201-6625
Phone (573) 876-1660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208504514 | Medicaid | MO | |
| P00349316 | Other | MO | RR MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Saint Louis University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11550 Olive Blvd
Saint Louis, MO 63141-7111
Phone (314) 542-7690
232 S Woods Mell Rd
Chesterfield, MO 63017-3417
233 Clarkson Rd
Ellisville, MO 63011-2219
Phone (636) 256-8644
5551 Winghaven Blvd
100 Winghaven UC Center
O Fallon, MO 63368-3618
Phone (636) 695-2500
8857 Ladue Rd a
Saint Louis, MO 63124-2045
Phone (314) 576-8189
900 W Nifong Blvd
Suite 101
Columbia, MO 65203-4469
Phone (573) 815-6640
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Emergency Physicians of St. Luke'S, LLC | Internal Medicine | Current | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
900 W Nifong Blvd
Ste 101
Columbia, MO 65203
Phone (573) 499-9009
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644
508 Old Smizer Mill Rd
Fenton, MO 63026
Phone (636) 343-5223
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
Interoperability endpoints
- timothysoncasie@mhccaremail.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
- Emergency Medicine Physician
- Chesterfield, MO
- NPI 1215359815
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
- Home Health Agency
- Jefferson City, MO
- NPI 1255379145
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1225058308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W NIFONG BLVD STE 101",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034469",
"telephone_number": "573-499-9009",
"fax_number": "573-499-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W NIFONG BLVD STE 101",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65203",
"telephone_number": "573-499-9009",
"fax_number": "573-499-4400"
}
],
"practiceLocations": [
{
"address_1": "401 N Keene St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016625",
"country_code": "US",
"telephone_number": "573-876-1660",
"fax_number": "573-874-0665",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SONCASIE",
"first_name": "TIMOTHY",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "111504",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "111504",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208504514",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00349316",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.