Active NPI
Rod Lee Elliott-Mullens, DO
- Sleep Medicine (Internal Medicine) Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- DO150936
- Practice address
- 969 N Mason Rd Ste 250
Saint Louis, MO 63141-6370 - Phone
- (314) 273-0195
- Fax
- (314) 273-0190
- NPI assigned
- Jul 21, 2006
- Last updated
- Sep 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | K9776 | TX | |
| Pulmonary Disease Physician | 207RP1001X | DO150936 | OR | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | K-9776 | TX | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 2024006433 | MO | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | DO150936 | OR | Primary |
Addresses
Primary practice location
969 N Mason Rd Ste 250
Saint Louis, MO 63141-6370
Mailing address
660 Mason Ridge Center Dr Ste 300
Saint Louis, MO 63141-8512
Phone (314) 996-8072
Other practice location 1
3935 Oak Knoll Rd NW
Salem, OR 97304
Phone (830) 708-9137
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037600601 | Medicaid | TX | |
| R186837 | Other | OR | MEDICARE |
| 10725082 | Other | OR | CAQH ID |
| 500621775 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
969 N Mason Rd
Suite 250
Saint Louis, MO 63141-6370
Phone (314) 996-8072
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024006433 | MO | MD | Sleep Medicine (Internal Medicine) Physician |
| K-9776 | TX | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Multi-Specialty | Current | Accepting new patients |
| McKenzie Physician Services LLC | Multi-Specialty | Current | Accepting new patients |
| Physician Groups LC | Current | Accepting new patients | |
| Bend Memorial Clinic PC | Multi-Specialty | Current | Accepting new patients |
| Bend Memorial Clinic PC | Current | Accepting new patients |
Locations
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
660 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 463-6950
969 N Mason Rd
Ste 250
Saint Louis, MO 63141
Phone (314) 878-4699
1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354
1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
Interoperability endpoints
- rellio22@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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
-
dba Summit Health
- Family Medicine Physician
- Bend, OR
- NPI 1699827477
Multi-Specialty
-
- General Practice Physician
- Brentwood, TN
- NPI 1316909054
Multi-Specialty, OR
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
dba Medical Arts Clinic
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
-
dba Bend Memorial Clinic PC dba Summit Health
- Clinical Medical Laboratory
- Bend, OR
- NPI 1972144913
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1831107895
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1447271986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 MASON RIDGE CENTER DR STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418512",
"telephone_number": "314-996-8072",
"fax_number": "314-996-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 N MASON RD STE 250",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416370",
"telephone_number": "314-273-0195",
"fax_number": "314-273-0190"
}
],
"practiceLocations": [
{
"address_1": "3935 Oak Knoll Rd NW",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "97304",
"country_code": "US",
"telephone_number": "830-708-9137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLIOTT-MULLENS",
"first_name": "ROD",
"middle_name": "LEE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "K9776",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OR",
"license": "DO150936",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "TX",
"license": "K-9776",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MO",
"license": "2024006433",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "OR",
"license": "DO150936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "037600601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "R186837",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "10725082",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500621775",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "969 N Mason Rd Ste 250",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631416370",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.