Individual provider Active NPI

Melissa N Weis, M.D.

  • Pulmonary Disease Physician
  • Saint Louis, MO
National Provider Identifier
1821242462
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2011028712 Issued in MO
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

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20140730000481 MO Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4082808373 Reassigns benefits to 1 organization
I20200110001310 IL Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 4082808373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Critical Care Services PCGroup PAC ID 8729992060, 32 clinicians
Cep America Illinois IntensivistsGroup PAC ID 0345535449, 47 clinicians

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 Hospital, Anderson, SC, CCN 420027
  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • Adventhealth Gordon Hospital, Calhoun, GA, CCN 110023
  • Kershawhealth Hospital, Camden, SC, CCN 420048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.096141OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Services, P.C. Critical Care Medicine CurrentSince Aug 1, 2021 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine Current Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince May 1, 2020 Accepting new patients
Cep America Illinois Intensivists Critical Care Medicine CurrentSince May 1, 2020 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

  • Direct secure messaging: mweis1577697@direct.osumc.edu
  • Direct secure messaging: mweis167885@direct-ehr-ssmhc.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.