Active NPI
Ellis R. Berkowitz, M.D.02
- Internal Medicine Physician
- Saint Joseph, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R8874
- Practice address
- 5514 Corporate Dr Ste 120
Saint Joseph, MO 64507-7754 - Phone
- (816) 271-1350
- Fax
- (816) 271-1355
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R8874 | MO | Primary |
Addresses
Primary practice location
5514 Corporate Dr Ste 120
Saint Joseph, MO 64507-7754
Mailing address
5514 Corporate Dr Ste 120
Saint Joseph, MO 64507-7754
Phone (816) 271-1350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110045416 | Other | MO | RR MEDICARE |
| 100312810A | Medicaid | KS | |
| 209319003 | Medicaid | MO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Washington University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3011 Baltimore Ave
Kansas City, MO 64108-3403
Phone (816) 751-7832
5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067
5301 Faraon St
Saint Joseph, MO 64506-3512
Phone (816) 271-7546
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500
5514 Corporate Dr
Suite 150
Saint Joseph, MO 64507-7763
Phone (816) 271-1220
901 Heartland Rd
Saint Joseph, MO 64506-6201
Hospital & facility affiliations
- Mosaic Life Care Home Health
- Centerwell Home Health
- Freudenthal Home Health
- Mosaic Life Care Hospice
- Mosaic Life Care at St Joseph
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- Quality
- 74.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8874 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Heartland Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Heartland Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Midwestern Health Management, Inc. | Past | Accepting new patients | |
| Heartland Regional Medical Center | Past | Accepting new patients |
Locations
3715 Beck Rd
Ste F
Saint Joseph, MO 64506
Phone (816) 271-4935
901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213
5514 Corporate Dr
Ste 120
Saint Joseph, MO 64507
Phone (816) 271-1350
5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406
5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070
Interoperability endpoints
- ellis.berkowitz@direct.mymlc.com
Organizations & group practices 6
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.
-
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
Internal Medicine
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Kansas City, MO
- NPI 1598746836
-
- General Practice Physician
- Saint Joseph, MO
- NPI 1538200357
Internal Medicine
-
- Rehabilitation Hospital Unit
- Saint Joseph, MO
- NPI 1841385093
-
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
- Family Medicine Physician
- Saint Joseph, MO
- NPI 1104962901
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Joseph, MO
- NPI 1619222395
-
- Home Health Agency
- Saint Joseph, MO
- NPI 1003916198
-
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
- Community Based Hospice Care Agency
- Saint Joseph, MO
- NPI 1912007006
-
- Home Health Agency
- Overland Park, KS
- NPI 1710919071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1124058425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5514 CORPORATE DR STE 120",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645077754",
"telephone_number": "816-271-1350",
"fax_number": "816-271-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5514 CORPORATE DR STE 120",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645077754",
"telephone_number": "816-271-1350",
"fax_number": "816-271-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKOWITZ",
"first_name": "ELLIS",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.02",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R8874",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110045416",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100312810A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209319003",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.