FAIRVIEW HEIGHTS MEDICAL GROUP SC
NPI 1073022000
Clinic/Center - Multi-Specialty in Saint Louis, MO
About Fairview Heights Medical Group Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRVIEW HEIGHTS MEDICAL GROUP SC (NPI 1073022000), doing business as Bjc Medical Group Of Illinois, is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since September 2017. The organization lists John T Ellena, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fairview Heights Medical Group Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
503Medicare enrollment records show 503 clinicians reassign Medicare billing to Fairview Heights Medical Group Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 503Chesterfield, MO 63017
Saint Louis, MO 63110
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fairview Heights Medical Group Sc's NPI number?
The NPI number for Fairview Heights Medical Group Sc is 1073022000. It was assigned to this organization in the NPPES registry on September 21, 2017. The provider is doing business as Bjc Medical Group Of Illinois.
Where is Fairview Heights Medical Group Sc located?
Fairview Heights Medical Group Sc is located at 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141. The listed phone number is (314) 996-7644.
What is Fairview Heights Medical Group Sc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Fairview Heights Medical Group Sc enrolled in Medicare?
Yes. Fairview Heights Medical Group Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairview Heights Medical Group Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 503 clinicians in 32 Medicare specialties reassign their Medicare billing to Fairview Heights Medical Group Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (134), Hospitalist (71) and Internal Medicine (67). Of these, 2 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Fairview Heights Medical Group Sc accept?
Health plans from Anthem Blue Cross and Blue Shield list Fairview Heights Medical Group Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fairview Heights Medical Group Sc was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fairview Heights Medical Group Sc · NPI 1073022000
Multi-Specialty organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since September 21, 2017.
## Identity
- **NPI:** 1073022000 (Entity type: Organization)
- **Enumerated:** September 21, 2017
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** BJC MEDICAL GROUP OF ILLINOIS (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** John Ellena, MEDICAL DIRECTOR
## Practice location
- **Address:** 660 MASON RIDGE CENTER DR STE 300, Saint Louis, MO 63141-8512
- **Phone:** (314) 996-7644 · **Fax:** (314) 996-7658
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 503 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (134), Hospitalist (71), Internal Medicine (67); 2 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1073022000/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073022000) · Data from the CMS NPPES public registry.