FAIRVIEW HEIGHTS MEDICAL GROUP, SC
NPI 1811392210
Internal Medicine 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 1811392210) is a healthcare organization registered as an internal medicine in Saint Louis, Missouri and active in the NPI registry since October 2014. The organization lists John T Ellena, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 1811392210. It was assigned to this organization in the NPPES registry on October 28, 2014.
Where is Fairview Heights Medical Group, Sc located?
Fairview Heights Medical Group, Sc is located at 670 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 Internal Medicine with taxonomy code 207R00000X.
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.
When was this NPI record last updated?
The NPPES record for Fairview Heights Medical Group, Sc was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.