Individual provider Active NPI

Michael J Fleissner, MD

  • Cardiovascular Disease Physician
  • Belleville, IL
National Provider Identifier
1942289459
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036.084308 Issued in IL
Practice address
4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone
(618) 233-3066
Fax
(618) 233-3180
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 100821 MO
Cardiovascular Disease Physician 207RC0000X 036.084308 IL Primary
Specialist 174400000X MD100821 MO

Addresses

Primary practice location

4600 Memorial Dr Ste W1
Belleville, IL 62226-5359

Mailing address

PO Box 959203
Saint Louis, MO 63195-9203
Phone (618) 233-3066

Other practice location 1

6810 State Route 162
Ste 102
Maryville, IL 62062-8501
Phone (618) 488-4076

Other practice location 2

6810 State Route 162 Ste 102
Maryville, IL 62062-8560
Phone (618) 288-4076

Other practice location 3

1225 Graham Rd Ste C-2310
Florissant, MO 63031-8023
Phone (314) 953-6300

Other identifiers 1

IdentifierTypeStateIssuer
203452909MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20101123001024 MO Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5395755110 Reassigns benefits to 1 organization
I20101124000698 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5395755110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Medical College of Wisconsin, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5643

11155 Dunn Rd
Suite 109N
Saint Louis, MO 63136-6148
Phone (314) 953-8799

1225 Graham Rd
Suite 1220B
Florissant, MO 63031-8012
Phone (618) 466-6616

1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-3055

1418 Cross St
Suite 350
Shiloh, IL 62269-2988
Phone (618) 607-3900

2122 Troy Rd
Suite 130
Edwardsville, IL 62025-2540
Phone (618) 463-7600

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

4600 Memorial Dr
Belleville, IL 62226-5359

Hospital & facility affiliations

  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD100821MOMDSpecialist
036.084308ILMDCardiovascular Disease Physician
100821MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists PC Cardiovascular Disease Current Accepting new patients
Fairview Heights Medical Group SC CurrentSince Aug 1, 2011 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Aug 1, 2011 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4600 Memorial Dr
Ste W1
Belleville, IL 62226
Phone (618) 233-3066

2122 Troy Rd
Ste 130
Edwardsville, IL 62025
Phone (618) 692-9876

6810 State Route 162
Ste 102
Maryville, IL 62062
Phone (618) 288-4076

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

1404 Cross St
Ste 2940
Shiloh, IL 62269
Phone (618) 233-3660

1225 Graham Rd
Ste C-2310
Florissant, MO 63031
Phone (314) 953-6300

3023 N Ballas Rd
Ste 400D
Saint Louis, MO 63131
Phone (314) 447-1301

670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250

11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784

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

660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433

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

Interoperability endpoints

  • Direct secure messaging: mfleissner11292@direct.carenet.org

Organizations & group practices 3

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 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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1942289459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959203",
            "telephone_number": "618-233-3066",
            "fax_number": "618-233-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MEMORIAL DR STE W1",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265359",
            "telephone_number": "618-233-3066",
            "fax_number": "618-233-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6810 State Route 162",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620628501",
            "country_code": "US",
            "telephone_number": "618-488-4076",
            "fax_number": "618-288-4215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6810 State Route 162 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620628560",
            "country_code": "US",
            "telephone_number": "618-288-4076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Graham Rd Ste C-2310",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630318023",
            "country_code": "US",
            "telephone_number": "314-953-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEISSNER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "100821",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.084308",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "MD100821",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203452909",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6810 State Route 162 Ste 102",
            "city": "Maryville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620628560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Memorial Dr Ste W1",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.