Active NPI
Alan E Harris, MD
- Diagnostic Radiology Physician
- St. Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036093945
- Practice address
- VA St. Louis Medical Center
915 North Grand Blvd.
St. Louis, MO 63106 - Phone
- (314) 652-4100
- NPI assigned
- May 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036093945 | IL | Primary |
Addresses
Primary practice location
VA St. Louis Medical Center
915 North Grand Blvd.
St. Louis, MO 63106
Mailing address
1370 Bossler LN
O Fallon, IL 62269-7128
Phone (618) 304-1158
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360939452 | Medicaid | IL | |
| 1355486 | Other | TN | BCBS OF TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Diagnostic Radiology
- Education
- Howard University College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
640 W Washington St
Pittsfield, IL 62363-1350
Phone (309) 671-8282
Hospital & facility affiliations
- Blessing Hospital
- Illini Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036093945 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graham Hospital Association | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Blessing Hospital | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Radiology Consultants of Mid-America, PC | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Diagnostic Imaging LTD | Diagnostic Radiology | Past | Accepting new patients |
Locations
210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240
180 S Main St
Canton, IL 61520
Phone (309) 647-5240
4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
640 W Washington St
Pittsfield, IL 62363
Phone (217) 285-2113
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
1005 Broadway St
Quincy, IL 62301
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
101 Medical Dr
Hannibal, MO 63401
100 Medical Dr
Hannibal, MO 63401
103 E Commercial St
Kahoka, MO 63445
Phone (660) 727-3377
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 9
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.
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
-
- Critical Access Hospital
- Canton, IL
- NPI 1780692087
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Multi-Specialty Clinic/Center
- Quincy, IL
- NPI 1114471737
-
- Multi-Specialty Clinic/Center
- Galesburg, IL
- NPI 1134975576
-
- Internal Medicine Physician
- Galesburg, IL
- NPI 1710845854
-
- Diagnostic Radiology Physician
- Belleville, IL
- NPI 1235174764
-
- Diagnostic Radiology Physician
- Belleville, IL
- NPI 1598716771
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- Critical Access Hospital
- Pittsfield, IL
- NPI 1720086218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1225075302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 BOSSLER LN",
"city": "O FALLON",
"state": "IL",
"postal_code": "622697128",
"telephone_number": "618-304-1158",
"fax_number": "618-624-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA ST. LOUIS MEDICAL CENTER",
"address_2": "915 NORTH GRAND BLVD.",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63106",
"telephone_number": "314-652-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ALAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2024-03-13",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036093945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360939452",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "1355486",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.