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ELI HEALTH PC
NPI 1417740747
Family Medicine - Geriatric Medicine in Saint Louis, MO

Active since May 28, 2025
12395 OLIVE BLVD STE 200, SAINT LOUIS, MO 63141(646) 319-9017 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eli Health Pc NPPES

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

ELI HEALTH PC (NPI 1417740747), doing business as Eli Health, is a healthcare organization registered as a geriatric medicine in Saint Louis, Missouri and active in the NPI registry since May 2025. The organization lists Joseph Mitchell, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1417740747
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameELI HEALTH PC
Location Address12395 OLIVE BLVD STE 200Saint Louis, MO 63141-5465
Mailing Address1449 S Michigan Ave Ste 13138Chicago, IL 60605-2810
Phone(646) 319-9017
Organization SubpartNo
Authorized OfficialJoseph MitchellAuthorized Official · (270) 993-4789
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1417740747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
12395 OLIVE BLVD STE 200, Saint Louis, MO 63141
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Other Names 2

Doing Business AsEli Health
Doing Business AsEli Health, P.c.

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eli Health Pc 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 Eli Health PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Sara Khaledpour, LPC
Mental Health Counselor
NPI 1225386055
400 N 5TH ST STE 201
Saint Charles, MO 63301
(636) 238-2615
✔ PECOS7.8 mi
Joseph Mitchell, M.D.
Geriatric Medicine
NPI 1952669152
13025 WELLINGTON WAY
Goshen, KY 40026
(270) 391-0697
✔ PECOS✔ Accepts Medicare264 mi

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 Eli Health PC's NPI number?

The NPI number for Eli Health PC is 1417740747. It was assigned to this organization in the NPPES registry on May 28, 2025. The provider is doing business as Eli Health and Eli Health, P.C..

Where is Eli Health PC located?

Eli Health PC is located at 12395 Olive Blvd Ste 200, Saint Louis, MO 63141. The listed phone number is (646) 319-9017.

What is Eli Health PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Eli Health PC enrolled in Medicare?

Yes. Eli Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eli Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Eli Health PC, in Geriatric Medicine and Mental Health Counselor. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eli Health PC was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.