Individual provider Active NPI

Olivia Jo Ludwig, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Belleville, IL
National Provider Identifier
1326240102
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
036137299 Issued in IL
Practice address
211 S 3Rd St
Belleville, IL 62220-1915
Phone
(618) 234-2120
Fax
(618) 222-4630
NPI assigned
Jun 4, 2007
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 036137299 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2007018019 MO
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036137299 IL Primary

Addresses

Primary practice location

211 S 3Rd St
Belleville, IL 62220-1915

Mailing address

5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 274-2158

Other names 1

  • Olivia Jo Ison Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081025000035 MO Practitioner - Pathology 2163580705 Reassigns benefits to 2 organizations
I20170302000632 IL Practitioner - Pathology 2163580705

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Louisville School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care GroupGroup PAC ID 0143608372, 929 clinicians

Practice addresses (Care Compare)

1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 577-8475

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
68.52
Promoting interoperability
100
Improvement activities
40
Cost
72.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036137299ILMDAnatomic Pathology & Clinical Pathology Physician
2007018019MOMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carestl Health CurrentSince Feb 2, 2025 Accepting new patients
SSM Health Care Group Anatomic Pathology & Clinical Pathology CurrentSince Nov 1, 2023 Accepting new patients
Carestl Health Current Accepting new patients
SSM Health Care Group CurrentSince Nov 1, 2023 Accepting new patients
Carestl Health CurrentSince Feb 2, 2025 Accepting new patients
Carestl Health Past Accepting new patients

Locations

9303 Midland Blvd
Overland, MO 63114
Phone 31436758206119

3312 Ashby Rd
Saint Ann, MO 63074
Phone (314) 493-6200

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

10135 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 521-1444

11300 Dunn Rd
Saint Louis, MO 63138
Phone (505) 999-9290

1218 Shepley Dr
Saint Louis, MO 63137
Phone (314) 367-8520

1402 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 577-8762

2425 Whittier St
Saint Louis, MO 63113
Phone (314) 371-3100

2901 N Grand Blvd
Saint Louis, MO 63107

4500 Pope Ave
Saint Louis, MO 63115
Phone 3143675820 ext. 84940

5471 Martin Luther King Dr
Saint Louis, MO 63112
Phone 3143675820 ext. 2221

5541 Riverview Blvd
Saint Louis, MO 63120
Phone (314) 389-4566

7047 Emma Ave
Saint Louis, MO 63136
Phone (314) 653-8070

Interoperability endpoints

  • Direct secure messaging: oludwig@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1326240102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-274-2158",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S 3RD ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201915",
            "telephone_number": "618-234-2120",
            "fax_number": "618-222-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "OLIVIA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "IL",
            "license": "036137299",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MO",
            "license": "2007018019",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036137299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "ISON",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.