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

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 2

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

Medicare Care Compare profile

Specialty
Orthopedic Surgery
Also: Hand 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 (27 clinicians)

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 Hospital · Leawood, KS · CCN 170188
  • Saint Luke'S South Hospital Hospital · Overland Park, KS · CCN 170185

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100 (individual)
Quality
74.26
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)112
Removal of tissue1-10
Removal of nail tissue1-10

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 IDStateProvider typePAC IDDetails
I20081009000320 KS Practitioner - Orthopedic Surgery
Practitioner - Hand Surgery
3577658392 Reassigns benefits to 1 organization
I20081009000333 MO Practitioner - Orthopedic Surgery
Practitioner - Hand Surgery
3577658392 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008020473MOMDOrthopaedic Hand Surgery Physician
103289MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Medical Group of KC, P.a. Current
since Jan 1, 2012
Accepting new patients
Signature Medical Group of KC, PA Current
since Jan 1, 2012
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

  • Direct secure messaging: suzanne.elton@kcbj.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5952459OtherKSAETNA
P01151758OtherRAILROAD MEDICARE
41337012OtherKSBCBS

Other names

  • Suzanne Michelle Grillot Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address selton@kcbj.trust.medfusion.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 26, 2019.

{
    "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"
        }
    ]
}

Other providers in Overland Park, KS

All providers in Overland Park, KS · Orthopaedic Hand Surgery Physician in Kansas

Sources for this page

Verify at the official NPI Registry.