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

Dominic Bisesi, DO

Individual provider Emergency Medicine Physician · NPI 1114505005

Dominic Bisesi, DO is an Emergency Medicine in Saint Louis, Missouri. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 2021, 5 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
MO
In the registry since
2021
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1465 S Grand Blvd Rm 2717
Saint Louis, MO 63104-1003
Phone: (314) 268-4070
Fax: (314) 268-4019
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2021024445 (MO)

Record details

NPI number1114505005
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMarch 31, 2021
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104-1003

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 2021 (5 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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