NPIMap

Individual provider Active NPI

Mark L Blucher, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Saint Louis, MO
National Provider Identifier
1568433951
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2003024387 Issued in MO
Practice address
625 S New Ballas Rd
Suite R-7040
Saint Louis, MO 63141-8232
Phone
(314) 251-6970
Fax
(314) 251-5756
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2003024387 MO Primary

Addresses

Primary practice location

625 S New Ballas Rd
Suite R-7040
Saint Louis, MO 63141-8232

Mailing address

625 S New Ballas Rd
Suite R-7040
Saint Louis, MO 63141-8232
Phone (314) 251-6970

Other identifiers 1

IdentifierTypeStateIssuer
209253400MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000476 MO Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 6305740051 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Cardiovascular and Thoracic Surgery LLCGroup PAC ID 6204832199, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

10012 Kennerly Rd
Suite 101
Saint Louis, MO 63128-2197
Phone (314) 880-6676

615 S New Ballas Rd Administration
Saint Louis, MO 63141-8221

625 S New Ballas Rd
R 7040
Saint Louis, MO 63141-8253
Phone (314) 251-6970

625 S New Ballas Rd
Suite R 7040
St Louis, MO 63141-8221

901 Patients 1St Dr
Suite 2500
Washington, MO 63090-4700
Phone (636) 239-2711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003024387MOMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC CurrentSince Aug 1, 2006 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 1, 2006 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 9, 2026 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 9, 2026 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Mercy Hospital South Past Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

621 S New Ballas Rd
Ste 198A
Saint Louis, MO 63141
Phone (314) 251-6777

625 S New Ballas Rd
Ste R7040
Saint Louis, MO 63141
Phone (314) 251-5756

625 S New Ballas Rd
#R7040
Saint Louis, MO 63141

10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325

901 Patients First Dr
Ste 2500
Washington, MO 63090

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • Direct secure messaging: mblucher1153@directc.mercy.net

Organizations & group practices 8

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 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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1568433951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD",
            "address_2": "SUITE R-7040",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6970",
            "fax_number": "314-251-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD",
            "address_2": "SUITE R-7040",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6970",
            "fax_number": "314-251-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUCHER",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2003024387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209253400",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.