Active NPI
Bassam Albarcha, MD,FACP
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036096687
- Practice address
- 915 N Grand Blvd
Saint Louis, MO 63106-1621 - Phone
- (314) 652-4100
- Fax
- (314) 289-7937
- NPI assigned
- Oct 5, 2006
- Last updated
- Apr 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036096687 | IL | Primary |
Addresses
Primary practice location
915 N Grand Blvd
Saint Louis, MO 63106-1621
Mailing address
100 N 8TH St
Suite 238
East Saint Louis, IL 62201-2989
Phone (618) 274-9105
Other practice location 1
100 N 8th St
East Saint Louis, IL 62201-2989
Phone (618) 274-9105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036096687 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bassam.albarcha.1@9559.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N 8TH St
East Saint Louis, IL 62201-2989
Phone (618) 274-9105
2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 271-9191
6000 Bond Ave
Centreville, IL 62207-2328
Phone (618) 332-2740
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Healthcare Foundation Inc | Internal Medicine | Current | Accepting new patients |
| Southern Illinois Healthcare Foundation, Inc. | Current | Accepting new patients | |
| Southern Illinois Healthcare Foundation Inc | Current | Accepting new patients | |
| Touchette Regional Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700
100 N 8th St
East Saint Louis, IL 62201
Phone (618) 274-1900
100 N 8th St
Ste 238
East Saint Louis, IL 62201
Phone (618) 274-9105
129 N 8th St
East Saint Louis, IL 62201
Phone (617) 274-1905
5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060
6000 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-2740
2001 State St
East St Louis, IL 62205
Phone (618) 271-0204
2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473
Interoperability endpoints
- bassam.albarcha.1@9559.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Centreville Health Center
- Federally Qualified Health Center (FQHC)
- Centreville, IL
- NPI 1609813500
Internal Medicine
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
Internal Medicine
-
dba SIHF Healthcare
- Federally Qualified Health Center (FQHC)
- Waterloo, IL
- NPI 1821813247
-
dba Central Collinsville Health Center
- Federally Qualified Health Center (FQHC)
- Collinsville, IL
- NPI 1750530424
-
dba Mercy Health Home Medical Equipment Youngstown
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
- NPI 1245180785
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
dba Touchette Geriatric Behavioral Health Services
- Psychiatric Hospital Unit
- Cahokia Heights, IL
- NPI 1750992459
-
- Emergency Medicine Physician
- Cahokia Heights, IL
- NPI 1922019926
Hospital
-
- General Acute Care Hospital
- Cahokia Heights, IL
- NPI 1427111046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1821184193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N 8TH ST",
"address_2": "SUITE 238",
"city": "EAST SAINT LOUIS",
"state": "IL",
"postal_code": "622012989",
"telephone_number": "618-274-9105",
"fax_number": "618-274-9101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631061621",
"telephone_number": "314-652-4100",
"fax_number": "314-289-7937"
}
],
"practiceLocations": [
{
"address_1": "100 N 8th St",
"address_purpose": "LOCATION",
"city": "East Saint Louis",
"state": "IL",
"postal_code": "622012989",
"country_code": "US",
"telephone_number": "618-274-9105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBARCHA",
"first_name": "BASSAM",
"name_prefix": "Dr.",
"credential": "MD,FACP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036096687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036096687",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bassam.albarcha.1@9559.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "100 N 8th St",
"address_2": "Suite 238",
"city": "East Saint Louis",
"state": "IL",
"country_code": "US",
"postal_code": "622012989",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.