Individual provider Active NPI

Juan Daniel Cuevas, MD

  • Medical Oncology Physician
  • Bridgeton, MO
National Provider Identifier
1295727493
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
103666 Issued in MO
Practice address
3440 De Paul LN Ste 201
Bridgeton, MO 63044-3546
Phone
(314) 291-3312
Fax
(314) 291-4641
NPI assigned
Aug 16, 2005
Last updated
Nov 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 103666 MO Primary

Addresses

Primary practice location

3440 De Paul LN Ste 201
Bridgeton, MO 63044-3546

Mailing address

10004 Kennerly Rd Ste 137a
Saint Louis, MO 63128-2140
Phone (314) 842-7301

Other identifiers 1

IdentifierTypeStateIssuer
205222607MedicaidMO

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
I20100210000639 MO Practitioner - Hematology/Oncology 9537229323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Cancer Care LLPGroup PAC ID 5395756522, 3 clinicians

Practice addresses (Care Compare)

3440 De Paul LN
Suite 201
Bridgeton, MO 63044-3546
Phone (314) 291-3312

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103666MOMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Cancer Care, L.L.P. CurrentSince Jul 1, 2000 Accepting new patients

Locations

3440 De Paul Ln
Ste 201
Bridgeton, MO 63044
Phone (314) 291-3312

226 S Woods Mill Rd
Ste 45W
Chesterfield, MO 63017
Phone (314) 205-6160

1551 Wall St
Ste 400
Saint Charles, MO 63303
Phone (636) 462-6106

1031 Bellevue Ave
Ste 300
Saint Louis, MO 63117
Phone (314) 644-6300

10004 Kennerly Rd
Ste 137A
Saint Louis, MO 63128
Phone (314) 842-7301

Interoperability endpoints

  • Direct secure messaging: jcuevas245585@direct.carenet.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1295727493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 137A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282140",
            "telephone_number": "314-842-7301",
            "fax_number": "314-842-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 DE PAUL LN STE 201",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443546",
            "telephone_number": "314-291-3312",
            "fax_number": "314-291-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "JUAN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "103666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205222607",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.