NPIMap

Individual provider Active NPI

James Ellison, MD

  • Cardiovascular Disease Physician
  • Chesterfield, MO
National Provider Identifier
1992813745
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R9C35 Issued in MO
Practice address
222 S Woods Mill Rd Ste 500N
Chesterfield, MO 63017-3640
Phone
(314) 205-6699
Fax
(314) 590-5923
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R9C35 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd Ste 500N
Chesterfield, MO 63017-3640

Mailing address

222 S Woods Mill Rd
Suite 310N
Chesterfield, MO 63017-3625
Phone (314) 576-6700

Other practice location 1

2305 Georgia St
Louisiana, MO 63353-2559
Phone (314) 205-6699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000575 MO Practitioner - Cardiovascular Disease (Cardiology) 4284668922 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Creighton University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Specialists of St Lukes LLCGroup PAC ID 6709810880, 8 clinicians

Practice addresses (Care Compare)

222 S Woods Mill Rd
500N
Chesterfield, MO 63017-3640
Phone (314) 205-6699

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Pike County Memorial Hospital Hospital, Louisiana, MO, CCN 261333
  • Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardio-Pulmonary Associates, LLC Cardiovascular Disease CurrentSince Jul 1, 2005 Accepting new patients
Cardiac Specialists of St Luke'S, LLC Cardiovascular Disease CurrentSince Jul 1, 2022 Accepting new patients
St. Lukes Episcopal-Presbyterian Hospital CurrentSince Jan 2, 2014 Accepting new patients
Cardio-Pulmonary Affiliates LLC Past Accepting new patients
Cardiothoracic Surgery, LLC Past Accepting new patients
St. Lukes Medical Group Past Accepting new patients
Midwest Diagnostic Cardiology, LLC Cardiovascular Disease Past Accepting new patients

Locations

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

222 S Woods Mill Rd
Ste 500N
Chesterfield, MO 63017
Phone (314) 205-6699

222 S Woods Mill Rd
Ste 310N
Chesterfield, MO 63017
Phone (314) 576-6700

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

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.

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1992813745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 310N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-576-6700",
            "fax_number": "314-576-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 500N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173640",
            "telephone_number": "314-205-6699",
            "fax_number": "314-590-5923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Louisiana",
            "state": "MO",
            "postal_code": "633532559",
            "country_code": "US",
            "telephone_number": "314-205-6699",
            "fax_number": "314-590-5923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R9C35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.