Individual provider Active NPI

Neil Ettinger, MD

  • Pulmonary Disease Physician
  • Chesterfield, MO
National Provider Identifier
1619086451
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
R8E82 Issued in MO
Practice address
222 S Woods Mill Rd
Suite 310N
Chesterfield, MO 63017-3625
Phone
(314) 576-6700
Fax
(314) 576-6520
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X R8E82 MO
Pulmonary Disease Physician 207RP1001X R8E82 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd
Suite 310N
Chesterfield, MO 63017-3625

Mailing address

222 S Woods Mill Rd
Suite 310N
Chesterfield, MO 63017-3625
Phone (314) 576-6700

Other identifiers 1

IdentifierTypeStateIssuer
P00270746OtherRR MEDICARE

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
I20050927000171 MO Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Interventional Pain Management 7810921061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Interventional Pain Management
Education
Washington University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardio-Pulmonary Associates, LLCGroup PAC ID 9830123819, 5 clinicians
Physician Specialists of St Lukes LLCGroup PAC ID 1557366960, 77 clinicians

Practice addresses (Care Compare)

222 S Woods Mill Rd
Suite 310N
Chesterfield, MO 63017-3627
Phone (314) 682-3630

232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 434-1500

232 S Woods Mill Rd Dept of
Chesterfield, MO 63017-3417
Phone (314) 542-4897

232 S Woods Mill Rd Dept of OB/GYN
Chesterfield, MO 63017-3417
Phone (314) 434-1500

232 S Woods Mill Rd Hospitalist
Chesterfield, MO 63017-3417
Phone (314) 434-1500

232 S Woods Mill Rd ICU/Critical Care
Chesterfield, MO 63017-3417
Phone (314) 434-1500

232 S Woods Mill Rd Sleep Medicine
Chesterfield, MO 63017-3417
Phone (314) 205-6030

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Specialists of St Lukes LLC Critical Care Medicine CurrentSince Apr 1, 2008 Accepting new patients
Cardio-Pulmonary Associates, LLC Pulmonary Disease CurrentSince Jul 1, 2005 Accepting new patients
St. Lukes Medical Group Past Accepting new patients
Emergency Physicians of St. Luke'S, LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Cardiothoracic Surgery, LLC Past Accepting new patients
Cardio-Pulmonary Affiliates LLC Pulmonary Disease Past Accepting new patients
Mercy Health Services, LLC Past Accepting new patients

Locations

222 S Woods Mill Rd
Chesterfield, MO 63017
Phone (314) 205-6050

222 S Woods Mill Rd
Ste 310
Chesterfield, MO 63017

222 S Woods Mill Rd
Ste 310N
Chesterfield, MO 63017
Phone (314) 576-6700

508 Old Smizer Mill Rd
Fenton, MO 63026
Phone (636) 343-5223

2355 Dougherty Ferry Rd
Ste 320
Saint Louis, MO 63122
Phone (314) 821-6889

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1619086451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 310N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-576-6700",
            "fax_number": "314-576-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 310N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-576-6700",
            "fax_number": "314-576-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTINGER",
        "first_name": "NEIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "R8E82",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "R8E82",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00270746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.