Individual provider Active NPI

Alan Jose, MD

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1902110240
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2010014288 Issued in MO
Practice address
6420 Clayton Road
SSM St Marys Health Center/ Dept of Internal Medicine
St Louis, MO 63117-1872
Phone
(314) 768-8778
Fax
(314) 768-7101
NPI assigned
Jul 28, 2010
Last updated
Jul 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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 2010014288 MO Primary

Addresses

Primary practice location

6420 Clayton Road
SSM St Marys Health Center/ Dept of Internal Medicine
St Louis, MO 63117-1872

Mailing address

6420 Clayton Road
SSM St Marys Health Center/ Dept of Internal Medicine
St Louis, MO 63117-1872
Phone (314) 768-8778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20130827000759 LA Practitioner - HospitalistPractitioner - Internal Medicine 3375786122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 643-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.07 of 100Reported as group
Quality
75.45
Improvement activities
40
Cost
83.37

Merit-based Incentive Payment System (MIPS)

Final score
79.21 of 100Reported as group
Quality
64.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010014288MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Chasse Physician Services LLC CurrentSince Dec 27, 2023 Accepting new patients
Apogee Medical Group, Louisiana, Inc. CurrentSince Aug 1, 2013 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

Organizations & group practices 2

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": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1902110240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON ROAD",
            "address_2": "SSM ST MARYS HEALTH CENTER/ DEPT OF INTERNAL MEDICINE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631171872",
            "telephone_number": "314-768-8778",
            "fax_number": "314-768-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON ROAD",
            "address_2": "SSM ST MARYS HEALTH CENTER/ DEPT OF INTERNAL MEDICINE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631171872",
            "telephone_number": "314-768-8778",
            "fax_number": "314-768-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2010014288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.