Steven C. Eldenburg, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R5P86 Issued in MO

Practice address

115 W Broadway Blvd Ste 100
Sedalia, MO 65301-5708

Phone

(660) 951-1091

Fax

(660) 951-1046

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bothwell Regional Health CenterGroup PAC ID 6103714126, 109 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Jefferson City, MO, CCN 267600
• Johnson County Community Health Services Home health agency, Warrensburg, MO, CCN 267058
• Acg Hospice Hospice, Lee'S Summit, MO, CCN 261703
• Bothwell Regional Health Center Hospital, Sedalia, MO, CCN 260009

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Bothwell Regional Health Center

  • General Acute Care Hospital
  • Sedalia, MO
  • NPI 1235102690
  Medicare reassignment Care Compare group NPD
• Bothwell Regional Health Center

  • Rural Health Clinic/Center
  • Cole Camp, MO
  • NPI 1497705313

  Family Medicine

  NPD
• Bothwell Regional Health Center

  • General Practice Physician
  • Sedalia, MO
  • NPI 1508239781
  NPD
• Sedalia Urgent Care LLC

  • Urgent Care Clinic/Center
  • Sedalia, MO
  • NPI 1730063546
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acg Missouri West, LLC

  • Community Based Hospice Care Agency
  • Lees Summit, MO
  • NPI 1922792621
  Care Compare affiliation
• Bothwell Regional Health Center

  • General Acute Care Hospital
  • Sedalia, MO
  • NPI 1235102690
  Care Compare affiliation
• Bothwell Regional Health Center

  • Rural Health Clinic/Center
  • Cole Camp, MO
  • NPI 1497705313

  Hospital

  Care Compare affiliation
• Johnson County Community Health Services

  • Home Health Agency
  • Warrensburg, MO
  • NPI 1548265176
  Care Compare affiliation
• Pyramid Home Health Services- Jefferson City, Inc

  • Home Health Agency
  • Jefferson City, MO
  • NPI 1255379145
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1689662744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W BROADWAY BLVD STE 100",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015708",
            "telephone_number": "660-951-1091",
            "fax_number": "660-951-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W BROADWAY BLVD STE 100",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015708",
            "telephone_number": "660-951-1091",
            "fax_number": "660-951-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDENBURG",
        "first_name": "STEVEN",
        "middle_name": "C.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R5P86",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY PIN",
            "identifier": "431592605",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080063381",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "5804038",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD/KC",
            "identifier": "17996015",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "1880",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243181609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Dumbell, DDS
• Ali Mansour Ebrahimi, MD
• Lindsey Edwards, PA-C
• Ryan K Edwards, MD
• Jenna Eichler, PHARMD
• Eldercare LLC
• Brian K Ellefsen, DO
• Alyssa Marie Emery, MD
• Empowerme Rehabilitation Missouri LLC
• Empowerme Rehabilitation Mo Agency

• Family Medicine Physician in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.

Verify at the official NPI Registry.