Suzanne Grillot Elton, M.D.
Individual provider Active NPI Orthopaedic Hand Surgery Physician · Overland Park, KS
NPI 1972705366 · NPPES record last updated Jul 26, 2019
Key facts
- NPI
- 1972705366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Hand Surgery Physician 207XS0106X
- License
- 04-33104 (KS)
- Practice address
- 10701 Nall Ave
Suite 200
Overland Park, KS 66211-1231 - Phone
- (913) 381-5225
- Fax
- (913) 341-3940
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Signature Medical Group of KC PA
Practice addresses (Care Compare)
10701 Nall Ave
Suite 200
Overland Park, KS 66211-1358
Phone (913) 381-5225
1800 E Meyer Boulevard
Kansas City, MO 64132-1142
Phone (816) 523-0100
Hospital & facility affiliations
- Kansas City Orthopaedic Institute
- Saint Luke'S South Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.84 of 100
- Quality
- 74.26
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 112 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS, MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081009000320 | KS | Practitioner - Orthopedic Surgery |
3577658392 | Reassigns benefits to 1 organization |
| I20081009000333 | MO | Practitioner - Orthopedic Surgery |
3577658392 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008020473 | MO | MD | Orthopaedic Hand Surgery Physician |
| 103289 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Medical Group of KC, P.a. | Current |
Accepting new patients | |
| Signature Medical Group of KC, PA | Current |
Accepting new patients | |
| Midwest Trauma Services, LLC | Past | Accepting new patients |
Locations
10701 Nall Ave
Ste 200
Overland Park, KS 66211
Phone (913) 381-5225
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
1800 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 523-0100
2737 NE McBaine Dr
Ste A
Lees Summit, MO 64064
Phone (913) 381-5225
12639 Old Tesson Rd
Saint Louis, MO 63128
Phone (314) 446-0291
12639 Old Tesson Rd
Ste 100
Saint Louis, MO 63128
Interoperability endpoints
- suzanne.elton@kcbj.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 04-33104 | KS | Yes |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 2008020473 | MO |
Addresses
Primary practice location
10701 Nall Ave
Suite 200
Overland Park, KS 66211-1231
Mailing address
12639 Old Tesson Rd
Suite 100
Saint Louis, MO 63128-2786
Phone (314) 849-0311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5952459 | Other | KS | AETNA |
| P01151758 | Other | RAILROAD MEDICARE | |
| 41337012 | Other | KS | BCBS |
Other names
- Suzanne Michelle Grillot
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | selton@kcbj.trust.medfusion.com |
NPI Registry JSON
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564099200000",
"number": "1972705366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12639 OLD TESSON RD",
"address_2": "SUITE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282786",
"telephone_number": "314-849-0311",
"fax_number": "314-849-4423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 NALL AVE",
"address_2": "SUITE 200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111231",
"telephone_number": "913-381-5225",
"fax_number": "913-341-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELTON",
"first_name": "SUZANNE",
"middle_name": "GRILLOT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2019-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "KS",
"license": "04-33104",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MO",
"license": "2008020473",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5952459",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01151758",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "41337012",
"state": "KS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "selton@kcbj.trust.medfusion.com",
"affiliation": "N",
"address_1": "10701 Nall Ave",
"address_2": "Suite 200",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662111231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "GRILLOT",
"middle_name": "MICHELLE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.