Active NPI
Melissa N Weis, M.D.
- Pulmonary Disease Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 2011028712
- Practice address
- 12700 Southfork Rd
Saint Louis, MO 63128-3201 - Phone
- (314) 892-6565
- Fax
- (314) 892-4828
- NPI assigned
- Nov 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.096141 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 2011028712 | MO | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 2011028712 | MO |
Addresses
Primary practice location
12700 Southfork Rd
Saint Louis, MO 63128-3201
Mailing address
12700 Southfork Rd
Ste 270
Saint Louis, MO 63128-3201
Phone (314) 892-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Cityplace Dr
Suite 570
Saint Louis, MO 63141-7067
Phone (314) 514-6060
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
Hospital & facility affiliations
- Anmed Health
- Havasu Regional Medical Center
- Adventhealth Deland
- Adventhealth Gordon
- Kershawhealth
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.096141 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critical Care Services, P.C. | Critical Care Medicine | Current | Accepting new patients |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
| Cep America Illinois Intensivists | Critical Care Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
1 Cityplace Dr
Ste 570
Saint Louis, MO 63141
Phone (314) 514-6060
Interoperability endpoints
- mweis1577697@direct.osumc.edu
- mweis167885@direct-ehr-ssmhc.com
- mweis243843@direct.ahsys.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- St. Louis, MO
- NPI 1942256250
Critical Care Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Elgin, IL
- NPI 1821641499
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Critical Care Medicine (Internal Medicine) Physician
- Kankakee, IL
- NPI 1174320873
-
- Critical Care Medicine (Internal Medicine) Physician
- O Fallon, IL
- NPI 1992204184
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Calhoun, GA
- NPI 1760402424
-
- General Acute Care Hospital
- Anderson, SC
- NPI 1417919531
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
- Psychiatric Hospital
- Camden, SC
- NPI 1306416680
-
- General Acute Care Hospital
- Camden, SC
- NPI 1487220307
-
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1821242462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD",
"address_2": "STE 270",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283201",
"telephone_number": "314-892-6565",
"fax_number": "314-892-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283201",
"telephone_number": "314-892-6565",
"fax_number": "314-892-4828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIS",
"first_name": "MELISSA",
"middle_name": "N",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-10",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.096141",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "2011028712",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MO",
"license": "2011028712",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 14, 2017; 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.