Individual provider Active NPI

Melissa Lee Brown, MD

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1093906364
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2008012490 Issued in MO
Practice address
3635 Vista Ave
3Rd FLR Desloge Towers Dept of Anesthesia
Saint Louis, MO 63110-2539
Phone
(314) 577-8750
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2008012490 MO Primary

Addresses

Primary practice location

3635 Vista Ave
3Rd FLR Desloge Towers Dept of Anesthesia
Saint Louis, MO 63110-2539

Mailing address

3635 Vista Ave
3Rd FLR Desloge Towers Dept of Anesthesia
Saint Louis, MO 63110-2539

Other practice location 1

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (636) 386-9224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090128000261 MO Practitioner - Anesthesiology 1355414616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Saint Louis University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Anesthesiology Associates IncGroup PAC ID 6204720667, 251 clinicians

Practice addresses (Care Compare)

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-4687

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia Providers S.C Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Eye Anesthesia LLC Anesthesiology CurrentSince Apr 29, 2015 Accepting new patients
Western Anesthesiology Associates, Inc. Anesthesiology CurrentSince Feb 11, 2019 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

15945 Clayton Rd
Ballwin, MO 63011
Phone (636) 256-5280

339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222

17050 Baxter Rd
Chesterfield, MO 63005
Phone (636) 200-4242

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

170 Medical Dr
Hannibal, MO 63401
Phone (573) 231-0175

200 Brevco Plz
Ste 207
Lake St Louis, MO 63367
Phone (314) 821-8644

3501 Harry S Truman Blvd
Saint Charles, MO 63301
Phone (636) 757-1970

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

12990 Manchester Rd
Ste 1
Saint Louis, MO 63131
Phone (314) 821-8644

11125 Dunn Rd
Ste 100
Saint Louis, MO 63136
Phone (314) 355-5597

12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 686-4200

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1093906364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "address_2": "3RD FLR DESLOGE TOWERS DEPT OF ANESTHESIA",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVE",
            "address_2": "3RD FLR DESLOGE TOWERS DEPT OF ANESTHESIA",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102539",
            "telephone_number": "314-577-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 S New Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418221",
            "country_code": "US",
            "telephone_number": "636-386-9224",
            "fax_number": "636-386-7679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MELISSA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2008012490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.