DR. LISA DE LAS FUENTES MD
NPI 1407890841
Internal Medicine - Cardiovascular Disease in Saint Louis, MO

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
12634 OLIVE BLVD, DIV IM CARDIOLOGY, SAINT LOUIS, MO 63141(314) 362-1291(314) 747-1417 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 15, 2021 (3 updates tracked since 2021).

About Dr. Lisa De Las Fuentes Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA DE LAS FUENTES MD (NPI 1407890841) is an individual cardiovascular disease provider in Saint Louis, Missouri, licensed in Missouri (2000160333) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Southwestern Homeopathic Medical College And Hospital (1996).

NPPES Registry Identity

NPI1407890841
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. LISA DE LAS FUENTESCredential: MD
Location Address12634 OLIVE BLVD, DIV IM CARDIOLOGYSaint Louis, MO 63141-6337
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-1291 · Fax (314) 747-1417
Fax(314) 747-1417
Sole ProprietorNo
Medical School CMSSouthwestern Homeopathic Medical College And HospitalGraduated 1996
Enumeration DateJune 16, 2006
Last NPPES UpdateApril 17, 20253 updates tracked since enumeration
NPI 1407890841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MO · 2000160333
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
12634 OLIVE BLVD, Saint Louis, MO 63141

Other Identifiers 1

Medicaid206126906MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa De Las Fuentes Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951371020
PECOS Enrollment IDI20040727000979
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session G0422
Intensive cardiac rehabilitation is a program designed to improve heart health after a cardiac event. It may involve monitored exercise sessions, where your heart rate is tracked via ECG to ensure safety. Each session is tailored to your needs and abilities.
411 services106 patients
Intensive cardiac rehabilitation; with or without continuous ecg monitoring; without exercise, per session G0423
Intensive cardiac rehabilitation (ICR) is a program designed to improve heart health, especially after a cardiac event. It may include continuous ECG monitoring to track heart activity. Each session, even without exercise, focuses on lifestyle changes, diet, and stress management.
351 services94 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
139 services138 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
99 services99 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
91 services88 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
89 services87 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Emergency Medicine
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Anesthesiology
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Registered Nurse (Registered Nurse First Assistant)
12634 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
12634 OLIVE BLVD
SAINT LOUIS, MO 63141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa De Las Fuentes's NPI number?

The NPI number for Lisa De Las Fuentes is 1407890841. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Lisa De Las Fuentes located?

Lisa De Las Fuentes practices at 12634 Olive Blvd Div Im Cardiology, Saint Louis, MO 63141. The listed phone number is (314) 362-1291.

What is Lisa De Las Fuentes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Lisa De Las Fuentes enrolled in Medicare?

Yes. Lisa De Las Fuentes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lisa De Las Fuentes affiliated with any hospitals?

According to CMS data, Lisa De Las Fuentes is affiliated with Barnes Jewish Hospital and Barnes-Jewish West County Hospital.

When was this NPI record last updated?

The NPPES record for Lisa De Las Fuentes was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.