ALICIA CARYN BACH M.D.
NPI 1629455365
Pediatrics - Pediatric Hematology-Oncology in Columbia, MO
About Alicia Caryn Bach M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA CARYN BACH M.D. (NPI 1629455365) is an individual pediatric hematology-oncology provider in Columbia, Missouri, licensed in Missouri (2018009380) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alicia Caryn Bach M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Alicia Bach reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wentzville, MO 63385
- Reassigned Medicare billing, Missouri enrollment
- 741 clinicians in this Medicare group
Saint Louis, MO 63139
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
- 414 clinicians in this Medicare group
Creve Coeur, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Alicia Bach's NPI number?
The NPI number for Alicia Bach is 1629455365. It was assigned to this individual provider in the NPPES registry on May 1, 2015.
Where is Alicia Bach located?
Alicia Bach practices at 404 N Keene St, Columbia, MO 65201. The listed phone number is (573) 882-3961.
What is Alicia Bach's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.
Is Alicia Bach enrolled in Medicare?
Yes. Alicia Bach is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alicia Bach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Bach reassigns Medicare benefits to 3 organizations: Ssm Health Care St. Louis (Wentzville, MO), Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO) and Mercy Clinic Children's Cancer & Hematology LLC (Creve Coeur, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Bach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alicia Bach accept?
Health plans from Anthem Blue Cross and Blue Shield list Alicia Bach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Alicia Bach was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Alicia Caryn Bach, M.D. · NPI 1629455365
Pediatric Hematology-Oncology physician in Columbia, Missouri. Individual provider, active in the CMS NPPES registry since May 1, 2015.
## Identity
- **NPI:** 1629455365 (Entity type: Individual)
- **Enumerated:** May 1, 2015
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **State license:** 2018009380 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 404 N KEENE ST, Columbia, MO 65201-6626
- **Phone:** (573) 882-3961 · **Fax:** (573) 884-4277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ssm Health Care St. Louis (NPI 1588618755, Wentzville, MO); Ssm Cardinal Glennon Childrens Hospital (NPI 1073568226, Saint Louis, MO); Mercy Clinic Children's Cancer & Hematology LLC (NPI 1407066343, Creve Coeur, MO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2022
- **Other identifiers:** Medicaid 200062622 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1629455365) · Data from the CMS NPPES public registry.