Individual provider Active NPI

Youssef Albousen

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1497216436
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2022027095 Issued in MO
Practice address
3655 Vista Ave
Saint Louis, MO 63110-2539
Phone
(314) 257-8222
Fax
(314) 257-8221
NPI assigned
Mar 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 91227 SC
Internal Medicine Physician 207R00000X 97684 GA
Hospitalist Physician 208M00000X 2022027095 MO
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2022027095 MO Primary

Addresses

Primary practice location

3655 Vista Ave
Saint Louis, MO 63110-2539

Mailing address

1945 State Route 33
Neptune, NJ 07753-4859
Phone (732) 776-4483

Other practice location 1

1787 Allendale Fairfax Hwy
Fairfax, SC 29827-9133
Phone (303) 390-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, GA, SC, MT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220912001093 MO Practitioner - Hospitalist 4486039468 Reassigns benefits to 1 organization
I20240222002303 GA Practitioner - Internal Medicine 4486039468 Reassigns benefits to 1 organization
I20240311003039 SC Practitioner - Internal Medicine 4486039468
I20260513003640 MT Practitioner - Internal MedicinePractitioner - Hospitalist 4486039468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians
Impact Physician Group Montana LLCGroup PAC ID 8426489741, 7 clinicians
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians

Practice addresses (Care Compare)

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000

3528 Gabel Rd
Billings, MT 59102-7307
Phone (406) 373-8000

5995 Spring St
Warm Springs, GA 31830-2149
Phone (706) 655-3331

Hospital & facility affiliations

  • Allendale County Hospital Hospital, Fairfax, SC, CCN 421300
  • SSM Health Saint Louis University Hospital Hospital, Saint Louis, MO, CCN 260105
  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Advanced Care Hospital of Montana Inpatient rehabilitation facility, Billings, MT, CCN 27TA01
  • Advanced Care Hospital of Montana Long-term care hospital, Billings, MT, CCN 272001
  • Allendale County Hospital Nursing home, CCN 42Z300

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022027095MOMDInternal Medicine Physician
91227SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Jul 12, 2022 Accepting new patients
SSM Health Care Group Internal Medicine CurrentSince Jul 12, 2022 Accepting new patients
Allendale County Hospital Board Past Accepting new patients

Locations

3655 Vista Ave
Saint Louis, MO 63110
Phone (314) 977-5110

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

Interoperability endpoints

  • Direct secure messaging: yalbousen428920@direct-ehr-ssmhc.com

Organizations & group practices 5

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1497216436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859",
            "telephone_number": "732-776-4483",
            "fax_number": "732-776-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 VISTA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-257-8222",
            "fax_number": "314-257-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1787 Allendale Fairfax Hwy",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "SC",
            "postal_code": "298279133",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBOUSEN",
        "first_name": "YOUSSEF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-30",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "91227",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "97684",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2022027095",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2022027095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.