DR. LISA DE LAS FUENTES (MD) – Cardiovascular Disease Physician, NPI 1407890841
Cardiovascular Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,186 INTERNAL MEDICINE in MO
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Provider Addresses for DR. LISA DE LAS FUENTES (MD)
660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States
CB 8086
SAINT LOUIS, MO 631101010
Phone: (314) 362-1291
Fax: (314) 362-2512
Type: Mailing
Parkview Place, WashU, City of Saint Louis, Missouri, 63110, United States
STE 8A
SAINT LOUIS, MO 631101032
Phone: (314) 362-1291
Fax: (314) 362-2512
Type: Location
4921 PARKVIEW PL
DIV IM CARDIOLOGY, STE 8A
SAINT LOUIS, MO 631101032
Phone: (314) 362-1291
Fax: (314) 747-1417
Type: Location
12634 OLIVE BLVD
DIV IM CARDIOLOGY
SAINT LOUIS, MO 631416337
Phone: (314) 362-1291
Fax: (314) 747-1417
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-1291
Fax: (314) 747-1417
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-07-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040727000979 | I | Cardiovascular Disease (Cardiology) | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0422 | Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session | 424 | 115 | $0 |
| G0423 | Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session | 351 | 102 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 137 | 137 | $0 |
| 93356 | Heart muscle strain imaging | 105 | 104 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 88 | 77 | $0 |
Insurance plans in this area (ZIP 63110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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