Individual provider Active NPI

Rod Lee Elliott-Mullens, DO

  • Sleep Medicine (Internal Medicine) Physician
  • Saint Louis, MO
National Provider Identifier
1447271986
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
DO150936 Issued in OR
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
037600601MedicaidTX
R186837OtherORMEDICARE
10725082OtherORCAQH ID
500621775MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
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, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20091230000308 TX Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2668383241 Reassigns benefits to 1 organization
I20100818001061 OR Practitioner - Sleep MedicinePractitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Hospitalist 2668383241 Reassigns benefits to 2 organizations
I20240603002057 MO Practitioner - Sleep Medicine 2668383241 Reassigns benefits to 1 organization

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
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians

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

LicenseStateTypeSpecialty
2024006433MOMDSleep Medicine (Internal Medicine) Physician
K-9776TXMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
McKenzie Physician Services LLC Multi-Specialty CurrentSince Feb 1, 2020 Accepting new patients
Physician Groups LC CurrentSince Jul 1, 2024 Accepting new patients
Bend Memorial Clinic PC Multi-Specialty CurrentSince Mar 1, 2016 Accepting new patients
Bend Memorial Clinic PC CurrentSince Mar 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.