Individual provider Active NPI

Bassam Albarcha, MD,FACP

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1821184193
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036096687 Issued in IL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036096687MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040422001046 IL Practitioner - Internal MedicinePractitioner - Hospitalist 6002802253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
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

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc Internal Medicine Current Accepting new patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Jan 16, 2004 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jan 16, 2004 Accepting new patients
Touchette Regional Hospital Inc Internal Medicine CurrentSince Jan 1, 2009 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.