Active NPI
Betty Ozar, MD
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1497947287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MDR4F81
- Practice address
- 130 S Bemiston Ave Ste 707
Saint Louis, MO 63105-1919 - Phone
- (314) 727-8400
- Fax
- (314) 726-9508
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MDR4F81 | MO | Primary |
Addresses
Primary practice location
130 S Bemiston Ave Ste 707
Saint Louis, MO 63105-1919
Mailing address
130 S Bemiston Ave Ste 707
Saint Louis, MO 63105-1919
Phone (314) 727-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UPIN B18412 | Other | COMMERCIAL INSURANCES |
Other names 1
- Betty Sonnenwirth
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120326000086 | MO | Practitioner - Psychiatry | 5395905640 | Practice locations: Saint Louis, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Missouri, Kansas City, School of Medicine, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
141 N Meramec Ave
Suite 108
Saint Louis, MO 63105-3750
Phone (314) 727-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR4F81 | MO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1497947287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S BEMISTON AVE STE 707",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631051919",
"telephone_number": "314-727-8400",
"fax_number": "314-726-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S BEMISTON AVE STE 707",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631051919",
"telephone_number": "314-727-8400",
"fax_number": "314-726-9508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OZAR",
"first_name": "BETTY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "MDR4F81",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCES",
"identifier": "UPIN B18412",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETTY",
"last_name": "SONNENWIRTH",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Oct 3, 2022; 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.