Active NPI
Leslie E. Mezei, M.D.
- Cardiovascular Disease Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- R3E74
- Practice address
- 139 N Central Ave Apt D
Saint Louis, MO 63105-3800 - Phone
- (314) 486-1396
- Fax
- (314) 485-3520
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | R3E74 | MO | Primary |
Addresses
Primary practice location
139 N Central Ave Apt D
Saint Louis, MO 63105-3800
Mailing address
139 N Central Ave Apt D
Saint Louis, MO 63105-3800
Phone (314) 486-1396
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125578 | Other | MO | GROUP HEALTH PLAN |
| A13364 | Other | MO | MERCY HEALTH PLAN |
| 161200 | Other | MO | BLUE SHIELD |
| 202528048 | Medicaid | MO | |
| 4061166 | Other | MO | AETNA |
| STL2500039 | Other | MO | UNITED HEALTHCARE |
| 060069533 | Other | MO | RAILROAD MEDICARE |
| 161200 | Other | MO | BLUE CHOICE |
| STM2500039 | Other | MO | UHC MEDICARE COMPLETE |
| 254499 | Other | MO | HEALTHLINK |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091103000404 | MO | Practitioner - Cardiovascular Disease (Cardiology) | 0840344107 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14709 Olive Blvd
Chesterfield, MO 63017-2221
Phone (314) 317-5700
Hospital & facility affiliations
- St Lukes Hospital
- Mercy Hospital St Louis
- Barnes Jewish Hospital
- Missouri Baptist Medical Center
- Mercy Hospital South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3E74 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. John'S Cardiovascular Associates L.L.C. | Cardiovascular Disease | Current | Accepting new patients |
| Mercy Support Services | Past | Accepting new patients | |
| Pediatrix Medical Group of Missouri, P.C. | Past | Accepting new patients | |
| St. John'S Mercy Support Services | Cardiovascular Disease | Past | Accepting new patients |
Locations
14709 Olive Blvd
Chesterfield, MO 63017
Phone (314) 317-5700
121 Saint Lukes Center Dr
Ste 501
Chesterfield, MO 63017
Phone (314) 485-3500
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Chesterfield, MO
- NPI 1518062017
Cardiovascular Disease, MO
-
- Clinic/Center
- Saint Louis, MO
- NPI 1265572812
-
- Neonatal-Perinatal Medicine Physician
- Saint Louis, MO
- NPI 1164446779
-
- Cardiovascular Disease Physician
- Washington, MO
- NPI 1912020397
Cardiovascular Disease
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1992800429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 N CENTRAL AVE APT D",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053800",
"telephone_number": "314-486-1396",
"fax_number": "314-485-3520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 N CENTRAL AVE APT D",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631053800",
"telephone_number": "314-486-1396",
"fax_number": "314-485-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZEI",
"first_name": "LESLIE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "R3E74",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "125578",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLAN",
"identifier": "A13364",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "161200",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202528048",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4061166",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "STL2500039",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060069533",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "161200",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC MEDICARE COMPLETE",
"identifier": "STM2500039",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "254499",
"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 Oct 20, 2021; 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.