NPIMap

Individual provider Active NPI

Leslie E. Mezei, M.D.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1992800429
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R3E74 Issued in MO
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
Last updated
Oct 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3E74MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John's Cardiovascular Associates L.L.C. Cardiovascular Disease CurrentSince Nov 2, 2002 Accepting new patients
Pediatrix Medical Group of Missouri, P.C. Past Accepting new patients
Mercy Support Services Past Accepting new patients
St. John's Mercy Support Services Cardiovascular Disease Past Accepting new patients

Locations

121 Saint Lukes Center Dr
Ste 501
Chesterfield, MO 63017
Phone (314) 485-3500

14709 Olive Blvd
Chesterfield, MO 63017
Phone (314) 317-5700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.