Individual provider Active NPI

Elizabeth A Babusis, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1720122740
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
112937 Issued in MO
Practice address
3691 Rutger St
Saint Louis, MO 63110-2515
Phone
(314) 977-6333
Fax
(314) 977-6340
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 112937 MO
Pediatrics Physician 208000000X 112937 MO Primary

Addresses

Primary practice location

3691 Rutger St
Saint Louis, MO 63110-2515

Mailing address

3691 Rutger St
Saint Louis, MO 63110-2515
Phone (314) 977-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050715000647 MO Practitioner - Pediatric Medicine 5597791087 Reassigns benefits to 1 organization
I20171030003300 IL Practitioner - Pediatric Medicine 5597791087 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Oct 27, 2012 Accepting new patients
SSM Health Care St. Louis Internal Medicine CurrentSince Oct 27, 2012 Accepting new patients
SSM Cardinal Glennon Childrens Hospital Pediatrics CurrentSince Sep 6, 2017 Accepting new patients
SSM Cardinal Glennon Children'S Hospital Pediatrics CurrentSince Sep 6, 2017 Accepting new patients
SSM Cardinal Glennon Childrens Hospital Pediatrics Current Accepting new patients
SSM Health Care St. Louis Internal Medicine Past Accepting new patients
SSM St. Joseph Endoscopy Center, LLC Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

Interoperability endpoints

  • Direct secure messaging: ebabusis8214@direct-ehr-ssmhc.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720122740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 RUTGER ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102515",
            "telephone_number": "314-977-6333",
            "fax_number": "314-977-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 RUTGER ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102515",
            "telephone_number": "314-977-6333",
            "fax_number": "314-977-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABUSIS",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "112937",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "112937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.