Individual provider Active NPI

Michael Scott Plisco, MD, FCCP

  • Critical Care Medicine (Internal Medicine) Physician
  • Saint Louis, MO
National Provider Identifier
1861432049
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
2003003401 Issued in MO
Practice address
621 S New Ballas Rd
Ste 4006B
Saint Louis, MO 63141-8232
Phone
(314) 251-6486
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003003401 MO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2003003401 MO Primary
Pulmonary Disease Physician 207RP1001X 2003003401 MO

Addresses

Primary practice location

621 S New Ballas Rd
Ste 4006B
Saint Louis, MO 63141-8232

Mailing address

621 S New Ballas Rd
Ste 4006B
Saint Louis, MO 63141-8232
Phone (314) 251-6486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040305000729 MO Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7911895503 Reassigns benefits to 4 organizations
I20161203000130 AR Practitioner - Internal Medicine 7911895503 Reassigns benefits to 1 organization
I20210603001693 NC Practitioner - Critical Care (Intensivists) 7911895503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Aco Clinical Services IncGroup PAC ID 6901188572, 159 clinicians
Physician Specialists of St Lukes LLCGroup PAC ID 1557366960, 77 clinicians
Mercy Clinic Adult Critical Care LLCGroup PAC ID 3779512041, 59 clinicians

Practice addresses (Care Compare)

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 237-4200

232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 434-1500

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6486

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003003401MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Adult Critical Care, LLC Critical Care Medicine CurrentSince Jul 24, 2006 Accepting new patients
Physician Specialists of St Lukes LLC Internal Medicine CurrentSince Apr 25, 2022 Accepting new patients
NHCS Physicians Inc Critical Care Medicine CurrentSince Mar 15, 2021 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 1, 2016 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Mar 6, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 1, 2016 Accepting new patients
Integra Physicians Urgent Care Centers, LLC Past Accepting new patients
SSM Depaul Medical Group, Inc. Past Accepting new patients
Critical Care Services, P.C. Critical Care Medicine Past Accepting new patients

Locations

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

625 S New Ballas Rd
Ste 7020
Saint Louis, MO 63141
Phone (314) 251-6486

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

621 S New Ballas Rd
Ste 4006B
Saint Louis, MO 63141
Phone (314) 251-6486

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Organizations & group practices 9

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 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1861432049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "STE 4006B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "STE 4006B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISCO",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD, FCCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2003003401",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2003003401",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2003003401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.