NPIMap

Individual provider Active NPI

Joseph L Polizzi, M.D.

  • Cardiovascular Disease Physician
  • Washington, MO
National Provider Identifier
1659401206
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2002009372 Issued in MO
Practice address
901 Patients First Dr
Washington, MO 63090-4700
Phone
(636) 239-2711
Fax
(636) 239-3385
NPI assigned
Mar 6, 2007
Last updated
Mar 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2002009372 MO Primary

Addresses

Primary practice location

901 Patients First Dr
Washington, MO 63090-4700

Mailing address

901 Patients First Dr
Washington, MO 63090-4700
Phone (636) 239-2711

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
I20031208000249 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5991601494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Saint Louis University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Heart and Vascular LLCGroup PAC ID 8820016207, 112 clinicians

Practice addresses (Care Compare)

1326 S Service W Rd
Suite 30
Sullivan, MO 63080-2306
Phone (636) 239-2711

440 Hometown Plaza Dr
Owensville, MO 65066-1596
Phone (636) 239-2711

625 S New Ballas Rd
Saint Louis, MO 63141-8253

901 Patients 1St Dr
Suite 2500
Washington, MO 63090-4700
Phone (314) 251-1700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Heart and Vascular, LLC Cardiovascular Disease CurrentSince Aug 1, 2009 Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients
Mercy Hospital Jefferson Past Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC PastSince Feb 24, 2019 Accepting new patients
Mercy Clinic Adult Critical Care, LLC PastSince Apr 24, 2010 Accepting new patients
Ozarks Medical Center Past Accepting new patients
St. John's Mercy Support Services Cardiovascular Disease Past Accepting new patients

Locations

10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775

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

901 Patients First Dr
#2500
Washington, MO 63090

901 Patients First Dr
Ste 2500
Washington, MO 63090

Interoperability endpoints

  • Direct secure messaging: jpolizzi99992@directc.mercy.net

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1659401206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-239-2711",
            "fax_number": "636-239-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-239-2711",
            "fax_number": "636-239-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIZZI",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2002009372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.