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ELLEN MIDDENDORF MD
NPI 1245234988
Family Medicine in Belleville, IL

Active since June 10, 2005PECOS Enrolled
4600 MEMORIAL DR, STE. 160, BELLEVILLE, IL 62226(618) 235-0460(618) 235-1464 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen Middendorf Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN MIDDENDORF MD (NPI 1245234988) is an individual family medicine provider in Belleville, Illinois, licensed in Illinois (036-108143) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245234988
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELLEN MIDDENDORFCredential: MD
Location Address4600 MEMORIAL DR, STE. 160Belleville, IL 62226-5368
Mailing Address4600 Memorial Dr, Ste. 160Belleville, IL 62226-5368 · (618) 235-0460 · Fax (618) 235-1464
Phone(618) 235-0460
Fax(618) 235-1464
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateMay 24, 2012
✔ NPI 1245234988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-108143
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4600 MEMORIAL DR, Belleville, IL 62226
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Other Identifiers 5

Medicaid1245234988IL
Medicare PINIL3374012IL
Medicaid036108143IL
Medicare PINK01455IL
Medicare UPINH96220IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Middendorf Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PC ASSOCIATE, LLC
Family Medicine
4600 MEMORIAL DR, STE 160
BELLEVILLE, IL 62226
St. Clair County (618) 235-0460
CINDY L. AULD FNP
Nurse Practitioner (Obstetrics & Gynecology)
4600 MEMORIAL DR, STE. 400
BELLEVILLE, IL 62226
St. Clair County (618) 234-2390
HEALTHCARE PHYSICIANS OF SOUTHERN ILLINOIS, PC
Family Medicine
4600 MEMORIAL DR, SUITE 100
BELLEVILLE, IL 62226
St. Clair County (618) 222-9999
KATHLEEN K FOURNIER MD
Internal Medicine
4600 MEMORIAL DR, SUITE 100
BELLEVILLE, IL 62226
St. Clair County (618) 222-9999
MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
Surgery (Vascular Surgery)
4600 MEMORIAL DR, SUITE120
BELLEVILLE, IL 62226
St. Clair County (618) 222-1020
AFFILIATED ANKLE AND FOOT SURGEONS
Podiatrist
4600 MEMORIAL DR, SUITE 300
BELLEVILLE, IL 62226
St. Clair County (618) 277-9533
DR. LINDSEY KRUMHOLZ MD
Pediatrics
4600 MEMORIAL DR, SUITE 280
BELLEVILLE, IL 62226
St. Clair County (618) 257-2800
MSA ALLIANCE, LLC
Surgery (Vascular Surgery)
4600 MEMORIAL DR, STE 240
BELLEVILLE, IL 62226
St. Clair County (618) 222-1020

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 Ellen Middendorf's NPI number?

The NPI number for Ellen Middendorf is 1245234988. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Ellen Middendorf located?

Ellen Middendorf practices at 4600 Memorial Dr Ste. 160, Belleville, IL 62226. The listed phone number is (618) 235-0460.

What is Ellen Middendorf's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ellen Middendorf enrolled in Medicare?

Yes. Ellen Middendorf is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Middendorf was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.