Individual provider Active NPI

Alison Deremigis Thomasson, M.D.

  • Pediatric Critical Care Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1245644822
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
2020020171 Issued in MO
Practice address
621 S New Ballas Rd Ste 6009B
Saint Louis, MO 63141-8273
Phone
(314) 251-6598
Fax
(314) 251-7990
NPI assigned
Jun 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 2020020171 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 6009B
Saint Louis, MO 63141-8273

Mailing address

621 S New Ballas Rd Ste 6009B
Saint Louis, MO 63141-8273
Phone (314) 251-6598

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303000141 MO Practitioner - Pediatric Medicine 8224336755 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020020171MOMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Feb 1, 2022 Accepting new patients
Mercy Hospitals East Communities CurrentSince Feb 1, 2022 Accepting new patients

Locations

621 S New Ballas Rd
Ste 6009B
Saint Louis, MO 63141
Phone (314) 251-4659

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

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.

NPI Registry JSON

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1245644822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 6009B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418273",
            "telephone_number": "314-251-6598",
            "fax_number": "314-251-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 6009B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418273",
            "telephone_number": "314-251-6598",
            "fax_number": "314-251-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASSON",
        "first_name": "ALISON",
        "middle_name": "DEREMIGIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "MO",
            "license": "2020020171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.