Individual provider Active NPI

Norman B Ely, M.D.

  • Diagnostic Radiology Physician
  • Springfield, MO
National Provider Identifier
1194785345
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R6D62 Issued in MO
Practice address
3801 S National Ave
Springfield, MO 65807-5210
Phone
(417) 269-4056
Fax
(417) 269-5556
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R6D62 MO Primary

Addresses

Primary practice location

3801 S National Ave
Springfield, MO 65807-5210

Mailing address

1550 E Republic Rd
Springfield, MO 65804-6530
Phone (417) 889-6102

Other identifiers 4

IdentifierTypeStateIssuer
202191128MedicaidMO
300029174OtherMORRR MEDICARE
123167001MedicaidAR
1256OtherMOBLUE

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
I20080415000066 MO Practitioner - Diagnostic Radiology 6608886833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of New Mexico School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lester E Cox Medical CentersGroup PAC ID 8628092897, 243 clinicians

Practice addresses (Care Compare)

1000 E Hwy 60
Monett, MO 65708-8258
Phone (417) 235-3144

1001 E Primrose
Springfield, MO 65807-5155

1001 E Primrose St
Springfield, MO 65807-5155

1423 N Jefferson
BL00 Ferrel Duncan Clinic
Springfield, MO 65802-1917
Phone (417) 269-8729

1423 N Jefferson Ave
Springfield, MO 65802-1917

3801 S National
Ferrell Duncan Clinic
Springfield, MO 65807-5210
Phone (417) 269-6000

3801 S National Ave
900 Neurology
Springfield, MO 65807-5210
Phone (417) 269-6000

3850 S National Ave
Springfield, MO 65807-5287

3901 S Fremont
Ferrell Duncan Clinic
Springfield, MO 65804-6538
Phone (417) 269-1182

3901 S Fremont Ave 4TH FL
Gastroenterology
Springfield, MO 65804-6538
Phone (417) 875-3000

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Cox Monett Hospital Hospital, Monett, MO, CCN 261329
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
64.73
Promoting interoperability
100
Improvement activities
40
Cost
76.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6D62MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Apr 17, 2017 Accepting new patients
Lester E Cox Medical Centers CurrentSince Mar 1, 2026 Accepting new patients
Lester E Cox Medical Centers Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients

Locations

801 N Lincoln Ave
Monett, MO 65708
Phone (417) 236-2440

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

1001 E Primrose St
Ste 200
Springfield, MO 65807
Phone (417) 875-3275

Interoperability endpoints

  • Direct secure messaging: norman.ely@cernerdirect.coxhealth.com

Organizations & group practices 4

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 5

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1194785345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E REPUBLIC RD",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046530",
            "telephone_number": "417-889-6102",
            "fax_number": "417-889-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075210",
            "telephone_number": "417-269-4056",
            "fax_number": "417-269-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELY",
        "first_name": "NORMAN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R6D62",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202191128",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRR MEDICARE",
            "identifier": "300029174",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123167001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "1256",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.