Active NPI
St. John'S Cardiovascular Associates L.L.C.
- Cardiovascular Disease Physician
- Chesterfield, MO
National Provider Identifier
1518062017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ST. JOHN'S CARDIOVASCULAR ASSOCIATES L.L.C.
- Practice address
- 121 Saint Lukes Center Dr
Suite 501
Chesterfield, MO 63017-3509 - Phone
- (314) 485-3500
- Fax
- (314) 485-3520
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie E. Mezei, M.D.
- Title
- Managing Member
- Phone
- (314) 485-3500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MO | Primary | |
| Interventional Cardiology Physician | 207RI0011X | MO |
Addresses
Primary practice location
121 Saint Lukes Center Dr
Suite 501
Chesterfield, MO 63017-3509
Mailing address
121 Saint Lukes Center Dr
Suite 501
Chesterfield, MO 63017-3509
Phone (314) 485-3500
Other names 1
- Premier Heart Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090820000519 | MO | Part B Supplier - Clinic/Group Practice | 4587718838 |
Receives reassigned benefits from 1 practitioner Practice locations: Chesterfield, MO; Saint Louis, MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1992800429
Cardiovascular Disease, MO
-
- Adult Health Nurse Practitioner
- St. Louis, MO
- NPI 1164662276
-
- Registered Dietitian
- Chesterfield, MO
- NPI 1386828796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264982400000",
"number": "1518062017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SAINT LUKES CENTER DR",
"address_2": "SUITE 501",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173509",
"telephone_number": "314-485-3500",
"fax_number": "314-485-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SAINT LUKES CENTER DR",
"address_2": "SUITE 501",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173509",
"telephone_number": "314-485-3500",
"fax_number": "314-485-3520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHN'S CARDIOVASCULAR ASSOCIATES L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2010-02-01",
"status": "A",
"authorized_official_last_name": "MEZEI",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "314-485-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MO",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Heart Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesterfield, MO
- St Lukes Episcopal Presbyterian Hospital
- St Lukes Primary Care LLC
- St Lukes Specialty Care LLC
- Heidi St Peter, M.D.
- St. Andrews Resources for Seniors
- St. John'S Mercy Health Services, LLC
- St. John'S Sports and Therapy
- St. Joseph Institute for the Deaf
- St. Louis Ambulatory Anesthesia, LLC
- St. Louis Area Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.