Active NPI
Felix De Clercq, CAA
- Anesthesiologist Assistant
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 505
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 805-8700
- Fax
- (414) 259-1522
- NPI assigned
- Nov 14, 2016
- Last updated
- Aug 29, 2022
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 505 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Providers S.C | Anesthesiologist Assistant | Current | Accepting new patients |
| Orthomed Staffing LLC | Current | Accepting new patients |
Locations
305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310
211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214
200 NE 54th St
Unit 200
Kansas City, MO 64118
315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000
4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364
1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780
10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400
4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Anesthesiologist Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
dba Christian Hospital
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661731200000",
"number": "1356883979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-8700",
"fax_number": "414-259-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-8700",
"fax_number": "414-259-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE CLERCQ",
"first_name": "FELIX",
"name_prefix": "Mr.",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-14",
"last_updated": "2022-08-29",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "WI",
"license": "505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.