Barbara A Ellzey, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R9742 Issued in MO

Practice address

11123 S Towne SQ
Suite E
Saint Louis, MO 63123-7816

Phone

(314) 487-4537

Fax

(314) 487-8971

NPI assigned

Dec 29, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

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 2

Specialty

Internal Medicine

Education

University of Texas Southwestern Medical School at Dallas, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians of St Lukes LLCGroup PAC ID 3779714142, 63 clinicians

Premier Medical Physicians LLCGroup PAC ID 6507129699, 9 clinicians

Memorial HospitalGroup PAC ID 5294649372, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
• Memorial Hospital Hospital, Chester, IL, CCN 141338

Merit-based Incentive Payment System (MIPS)

Final score

92.71 of 100Reported as apm

Quality

82.25

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Emergency Physicians of St. Luke'S, LLC

  • Emergency Medicine Physician
  • Chesterfield, MO
  • NPI 1215359815
  Medicare reassignment Care Compare group NPD
• Premier Medical Physicians LLC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1417459207
  Medicare reassignment Care Compare group NPD
• Memorial Hospital

  • Critical Access Hospital
  • Chester, IL
  • NPI 1851390132
  Medicare reassignment Care Compare group NPD
• Memorial Hospital

  • Institutional Pharmacy
  • Chester, IL
  • NPI 1023603289
  NPD
• North County Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Florissant, MO
  • NPI 1356366934
  NPD (past)
• Physician Specialists of St Lukes LLC

  • Internal Medicine Physician
  • Chesterfield, MO
  • NPI 1235168410

  Emergency Medicine

  NPD (past)

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

• St. Lukes Episcopal-Presbyterian Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543
  Care Compare affiliation
• Memorial Hospital

  • Critical Access Hospital
  • Chester, IL
  • NPI 1851390132
  Care Compare affiliation

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1235116492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 CONWAY WOLD BYWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11123 S TOWNE SQ",
            "address_2": "SUITE E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237816",
            "telephone_number": "314-487-4537",
            "fax_number": "314-487-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLZEY",
        "first_name": "BARBARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R9742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036116352",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235116492",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Grant Ellis, LPC
• Angela Ellison, LPTA
• Judith Ellison, LCSW
• Jennifer Ellner
• Andre Demarlo Ells Jr.
• Aly Elmashad, MD
• Marilyn Kay Elmendorf, BSN
• Mohnd Elmontser, MBBCHMPH
• Beth Lynn Elmore, M.S., CCC/SLP
• Daniel Elmore, DC

• Emergency Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.

Verify at the official NPI Registry.