Lisa De Las Fuentes, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

2000160333 Issued in MO

Practice address

12634 Olive Blvd
Div Im Cardiology
Saint Louis, MO 63141-6337

Phone

(314) 362-1291

Fax

(314) 747-1417

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Southwestern Homeopathic Medical College and Hospital, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Heart Care Institute Affiliated Services LLCGroup PAC ID 2668368564, 13 clinicians

Heart Care Institute LLCGroup PAC ID 2567475049, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
• Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162

Merit-based Incentive Payment System (MIPS)

Final score

84.2 of 100Reported as group

Quality

71.6

Promoting interoperability

100

Improvement activities

40

Cost

75.75

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ldelasfuentes154061@direct.carenet.org

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.

• Heart Care Institute Affiliated Services, LLC

  • Cardiac Rehabilitation Clinic/Center
  • Creve Coeur, MO
  • NPI 1063756278

  MO

  Medicare reassignment Care Compare group NPD
• Heart Care Institute Affiliated Services, LLC

  • Cardiac Rehabilitation Clinic/Center
  • Creve Coeur, MO
  • NPI 1144256785

  MO

  Medicare reassignment Care Compare group NPD
• Heart Care Institute LLC

  • Cardiac Rehabilitation Clinic/Center
  • Creve Coeur, MO
  • NPI 1881975308

  MO

  Medicare reassignment Care Compare group NPD
• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1992746903

  MO

  Medicare reassignment NPD
• Heart Care Institute LLC

  • Cardiac Rehabilitation Clinic/Center
  • Creve Coeur, MO
  • NPI 1164458675
  Care Compare group NPD
• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1962442475
  NPD

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

• Barnes Jewish Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1649299827

  Hospital

  Care Compare affiliation
• Barnes Jewish West County Hospital

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1831107895

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1407890841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-1291",
            "fax_number": "314-747-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12634 OLIVE BLVD",
            "address_2": "DIV IM CARDIOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416337",
            "telephone_number": "314-362-1291",
            "fax_number": "314-747-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LAS FUENTES",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2000160333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206126906",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "12634 Olive Blvd",
            "address_2": "Div IM Cardiology",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelica De Freitas, MD
• Erin Nicole De Guzman, PMHNP
• Lindsey De Jong, LPC
• Jude Elliot De la Graves, B.A.
• Michael G De la Paz, MD
• Victoria Carmen De Leon, MD
• Jennifer Lynne De Los Santos, MD
• Gabrielle De Lucca Vicente
• Brendan Michael De Marco, MD
• Gayan De Silva, MD

• All providers in Saint Louis, MO
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.

Verify at the official NPI Registry.