Individual provider Active NPI

Betty Ozar, MD

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1497947287
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MDR4F81 Issued in MO
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

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
UPIN B18412OtherCOMMERCIAL INSURANCES

Other names 1

  • Betty Sonnenwirth Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MDR4F81MOMDPsychiatry 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

Verify at the official NPI Registry.