Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre P Bouhasin, MD

Individual provider Interventional Cardiology Physician · NPI 1508808635

Andre P Bouhasin, MD is a Cardiovascular Disease (Cardiology) in Farmington, Missouri. Graduated from Saint Louis University School of Medicine in 2001, 25 years ago. Practices with Physician Groups Lc, a 524-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
25
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1151 Hazel Ln
Farmington, MO 63640-1920
Phone: (573) 705-7870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 2004002409 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 2004002409 (MO)

Record details

NPI number1508808635
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address1151 Hazel Ln, Farmington, MO 63640-1920

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare