FAIRVIEW HEIGHTS MEDICAL GROUP, SC
NPI 1811392210
Internal Medicine in Saint Louis, MO

Active since October 28, 2014
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141(314) 996-7644(314) 996-7658 Get Directions Write a Review

NPPES record last updated: November 12, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1811392210
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAIRVIEW HEIGHTS MEDICAL GROUP, SC
Location Address670 MASON RIDGE CENTER DR, STE 300Saint Louis, MO 63141-8573
Mailing Address670 Mason Ridge Center DrSaint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Fax(314) 996-7658
Organization SubpartNo
Authorized OfficialJohn T EllenaMedical Director · (314) 996-3434
Enumeration DateOctober 28, 2014
Last NPPES UpdateNovember 12, 2014
✔ NPI 1811392210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036.108281
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
670 MASON RIDGE CENTER DR, Saint Louis, MO 63141

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)

Fairview Heights Medical Group, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

503

Medicare 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

Nurse Practitioner134
Hospitalist71
Internal Medicine67
Family Practice47
Gastroenterology32
Interventional Cardiology29
Cardiovascular Disease (Cardiology)28
Obstetrics/Gynecology15
24 other specialties80

Nearest to this location (20)

See all 503
Emergency Medicine
NPI 1366400608
660 MASON RIDGE CENTER DR
Saint Louis, MO 63141
(314) 273-6481
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528496437
660 MASON RIDGE CENTER DR
Saint Louis, MO 63141
(144) 483-7913
✔ PECOS✔ Accepts MedicareSame address
Hospice/Palliative Care
NPI 1306818182
3009 N BALLAS RD STE 383C
Saint Louis, MO 63131
(314) 305-1447
✔ PECOS✔ Accepts Medicare1.3 mi
Emergency Medicine
NPI 1699071266
3009 N BALLAS RD STE 383C
Saint Louis, MO 63131
(314) 996-7014
✔ PECOS✔ Accepts Medicare1.3 mi
Neurology
NPI 1063506566
3009 N BALLAS RD STE 102B
Saint Louis, MO 63131
(314) 996-7080
✔ PECOS✔ Accepts Medicare1.4 mi
Obstetrics/Gynecology
NPI 1326067711
3009 N BALLAS RD STE 360C
Saint Louis, MO 63131
(314) 996-7220
✔ PECOS✔ Accepts Medicare1.4 mi
Interventional Cardiology
NPI 1417223447
3023 N BALLAS RD STE 200D
Saint Louis, MO 63131
(314) 996-7272
✔ PECOS✔ Accepts Medicare1.4 mi
Internal Medicine
NPI 1962847129
3015 N BALLAS RD
Saint Louis, MO 63131
(314) 996-5772
✔ PECOS✔ Accepts Medicare1.5 mi
Hospitalist
NPI 1396109880
3015 N BALLAS RD
Saint Louis, MO 63131
(314) 996-5772
✔ PECOS✔ Accepts Medicare1.5 mi
Internal Medicine
NPI 1407344393
3015 N BALLAS RD
Saint Louis, MO 63131
(314) 996-5772
✔ PECOS✔ Accepts Medicare1.5 mi
Nurse Practitioner
NPI 1891211553
615 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-6339
✔ PECOS✔ Accepts Medicare1.5 mi
Neurology
NPI 1992715775
3009 N BALLAS RD STE 102B
Saint Louis, MO 63131
(314) 996-7960
✔ PECOS1.6 mi
Nurse Practitioner
NPI 1770023608
121 SAINT LUKES CENTER DR STE 404
Chesterfield, MO 63017
(636) 685-7738
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1861108185
625 S NEW BALLAS RD
Saint Louis, MO 63141
(314) 251-0175
✔ PECOS2.5 mi
Hospitalist
NPI 1619167483
11550 OLIVE BLVD STE 140
Creve Coeur, MO 63141
(314) 205-8344
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1952764987
1 BARNES JEWISH HOSPITAL PLZ DIV IM ENDOCRINOLOGY
Saint Louis, MO 63110
(314) 362-3500
✔ PECOS✔ Accepts Medicare5.1 mi
Family Practice
NPI 1326020041
15838 FOUNTAIN PLAZA DR STE A
Chesterfield, MO 63017
(636) 484-5277
✔ PECOS✔ Accepts Medicare6.4 mi
Hospitalist
NPI 1497106983
401 CORPORATE PARK DR
Clayton, MO 63105
(636) 288-4149
✔ PECOS✔ Accepts Medicare6.9 mi
Infectious Disease
NPI 1134194327
12774 BOENKER LN
Bridgeton, MO 63044
(314) 291-7997
✔ PECOS✔ Accepts Medicare8.5 mi
Internal Medicine
NPI 1447508874
300 1ST CAPITOL DR
Saint Charles, MO 63301
(636) 947-5000
✔ PECOS✔ Accepts Medicare9.8 mi
See all 503 clinicians

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.