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OLIVE SURGICAL GROUP, LTD.
NPI 1275648438
Specialist in Saint Louis, MO

Active since August 20, 2006
11605 STUDT AVE, SUITE ONE, SAINT LOUIS, MO 63141(314) 699-9818(314) 699-9868 Get Directions Write a Review

NPPES record last updated: December 18, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Olive Surgical Group, Ltd. NPPES

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

OLIVE SURGICAL GROUP, LTD. (NPI 1275648438) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since August 2006. The organization lists Ellen Jane Humphries, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1275648438
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOLIVE SURGICAL GROUP, LTD.
Location Address11605 STUDT AVE, SUITE ONESaint Louis, MO 63141-7052
Mailing Address11605 Studt Ave, Suite OneSaint Louis, MO 63141-7052 · (314) 699-9818 · Fax (314) 699-9868
Phone(314) 699-9818
Fax(314) 699-9868
Organization SubpartNo
Authorized OfficialEllen Jane HumphriesOffice Manager · (314) 699-9818
Enumeration DateAugust 20, 2006
Last NPPES UpdateDecember 18, 2008
✔ NPI 1275648438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11605 STUDT AVE, Saint Louis, MO 63141
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Other Identifiers 2

Medicare ID-Type Unspecified000014674MO · Medical Practice
Medicare NSC5547670001MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Olive Surgical Group, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Olive Surgical Group, Ltd., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Stephanie Dawson
Nurse Practitioner
NPI 1982010336
11605 STUDT AVE
Saint Louis, MO 63141
(314) 699-9818
✔ PECOS✔ Accepts MedicareSame address
Robert Bernardi, MD
Neurosurgery
NPI 1265420269
11605 STUDT AVE SUITE ONE
Saint Louis, MO 63141
(314) 699-9818
✔ PECOS✔ Accepts MedicareSame address

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 Olive Surgical Group, Ltd.'s NPI number?

The NPI number for Olive Surgical Group, Ltd. is 1275648438. It was assigned to this organization in the NPPES registry on August 20, 2006.

Where is Olive Surgical Group, Ltd. located?

Olive Surgical Group, Ltd. is located at 11605 Studt Ave Suite One, Saint Louis, MO 63141. The listed phone number is (314) 699-9818.

What is Olive Surgical Group, Ltd.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Olive Surgical Group, Ltd. enrolled in Medicare?

Yes. Olive Surgical Group, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olive Surgical Group, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Olive Surgical Group, Ltd., in Neurosurgery and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Olive Surgical Group, Ltd. accept?

Health plans from Anthem Blue Cross and Blue Shield list Olive Surgical Group, Ltd. 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 Olive Surgical Group, Ltd. was last updated on December 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.