Look up the most recent NPI and PECOS records

Talissa Ann Altes

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as TALISSA ALTES.

Based on the most recent information from CMS, provider Talissa Ann Altes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1598715351
Provider Type
Individual
Full Name
Altes, Talissa Ann
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/11/2006
Last Updated
8/16/2022

Contact Information

Practice Location

1 Hospital Dr, Columbia, MO 65212-0001

(573) 884-7770

(573) 882-9876

Mailing Location

PO Box 843966, Kansas City, MO 64184-3966

(573) 884-3300

(573) 884-0943

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 2016011655 Missouri
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License MD425784 Pennsylvania
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 0101233755 Virginia

Talissa Ann Altes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Velnati, Aparna

Mackie, Gavin Christopher

Mcnaul, David Wayne

Stensby, James Derek

Vega, Benjamin Sherwood

Morrell, Joshua

Abdelaziz, Amr Samy Mohamed

Amor, Maamoon Moatasim

Hillard, Alan E

Cleek, John