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DR. ELIZABETH ANN SUBA AU.D., CCC-A
NPI 1891216123
Audiologist in Saint Louis, MO

Active since June 27, 2017
3660 VISTA AVE STE 312, SAINT LOUIS, MO 63110(314) 977-5110 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Elizabeth Ann Suba Au.d., Ccc-a NPPES

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

DR. ELIZABETH ANN SUBA AU.D., CCC-A (NPI 1891216123) is an individual audiologist in Saint Louis, Missouri and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1891216123
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameDR. ELIZABETH ANN SUBACredential: AU.D., CCC-A
Location Address3660 VISTA AVE STE 312Saint Louis, MO 63110-2540
Mailing Address1003 N Castello StFlorissant, MO 63031-4529 · (314) 915-6724
Phone(314) 977-5110
Sole ProprietorNo
Enumeration DateJune 27, 2017
✔ NPI 1891216123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
3660 VISTA AVE STE 312, Saint Louis, MO 63110
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Other Names 1

Former Name (1)Elizabeth Boedeker

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elizabeth Ann Suba Au.d., Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Suba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Cardinal Glennon Childrens Hospital
13 mi
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1073568226 (314) 268-4070

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 Elizabeth Suba's NPI number?

The NPI number for Elizabeth Suba is 1891216123. It was assigned to this individual provider in the NPPES registry on June 27, 2017. The provider is also known as Elizabeth Boedeker.

Where is Elizabeth Suba located?

Elizabeth Suba practices at 3660 Vista Ave Ste 312, Saint Louis, MO 63110. The listed phone number is (314) 977-5110.

What is Elizabeth Suba's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Elizabeth Suba enrolled in Medicare?

Yes. Elizabeth Suba is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Suba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Suba reassigns Medicare benefits to Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). The 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 Elizabeth Suba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Suba was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.