LISSA LOPEZ-CONCAGH MD – NPI #1619957917
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

LISSA LOPEZ-CONCAGH is a physician located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1619957917 to LISSA LOPEZ-CONCAGH on January 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 2 years ago on Dec 22, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LISSA LOPEZ-CONCAGH below.

NPI Profile for
LISSA LOPEZ-CONCAGH

NPI Number
1619957917
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LISSA LOPEZ-CONCAGH
Credentials
MD
Primary location
450 N NEW BALLAS RD STE 204
SAINT LOUIS, MO 63141-6836
Phone: (314) 991-0137 Fax: (314) 991-0603
Mailing address
PO BOX 840185
KANSAS CITY, MO 64184-0185
Phone: (314) 991-0137 Fax: (314) 991-0603
Sole Proprietor
No
Updated
Certification Date
Dec 22, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LISSA LOPEZ-CONCAGH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO205957517
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 MO 108606

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE - Graduated 1995
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LISSA LOPEZ-CONCAGH is affiliated with the following medical group(s):
  • HOSPITAL
    • MISSOURI BAPTIST MEDICAL CENTER
      3015 N BALLAS RD
      TOWN AND COUNTRY, MO 63131
    • MISSOURI BAPTIST SULLIVAN HOSPITAL
      751 SAPPINGTON BRIDGE RD
      SULLIVAN, MO 63080
    • SALEM MEMORIAL DISTRICT HOSPITAL
      PO BOX 774,
      SALEM, MO 65560
    • SSM ST CLARE HEALTH CENTER
      1015 BOWLES
      FENTON, MO 63026
  • DIALYSIS FACILITY
    • FKC - CREVE COEUR HOME
      450 N New Ballas Rd
      Creve Coeur, MO 63141
    • FMC - CREVE COEUR
      555 N New Ballas #170
      Creve Coeur, MO 63141
    • FMC - SULLIVAN
      123 Progress Parkway
      SULLIVAN, MO 63080
    • SAINT CHARLES COUNTY DIALYSIS
      335 Mid Rivers Mall Dr
      Saint Peters, MO 63376

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