Active NPI
Alexandre Lacasse, M.D., M.SC.
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD0000042236
- Practice address
- 6420 Clayton Rd
Medicine Outpatient Clinic
Saint Louis, MO 63117-1811 - Phone
- (314) 768-8373
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2006028227 | MO | |
| Internal Medicine Physician | 207R00000X | MD0000042236 | TN | Primary |
Addresses
Primary practice location
6420 Clayton Rd
Medicine Outpatient Clinic
Saint Louis, MO 63117-1811
Mailing address
6420 Clayton Rd
Department of Internal Medicine
Saint Louis, MO 63117-1811
Phone (314) 768-8778
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD0000042236 | Other | TN | PHYSICIAN LICENSE |
| 2006028227 | Other | MO | PHYSICIAN LICENSE |
| 302710825 | Other | MO | BNDD NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8000
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000042236 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Internal Medicine | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
8820 Manchester Rd
Saint Louis, MO 63144
Phone (314) 963-8100
Interoperability endpoints
- alacasse1991@direct-ehr-ssmhc.com
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1366400855
Internal Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1972723765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6420 CLAYTON RD",
"address_2": "DEPARTMENT OF INTERNAL MEDICINE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171811",
"telephone_number": "314-768-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 CLAYTON RD",
"address_2": "MEDICINE OUTPATIENT CLINIC",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171811",
"telephone_number": "314-768-8373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACASSE",
"first_name": "ALEXANDRE",
"name_prefix": "Dr.",
"credential": "M.D., M.SC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2006028227",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD0000042236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "MD0000042236",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN LICENSE",
"identifier": "2006028227",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD NUMBER",
"identifier": "302710825",
"state": "MO"
}
],
"endpoints": [],
"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 Mar 7, 2023; 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.