Fairview Heights Medical Group, Sc
NPI 1811392210 · Internal Medicine Physician · Saint Louis, MO
Fairview Heights Medical Group, Sc is a Internal Medicine Physician organization in Saint Louis, MO (NPI 1811392210).
Provider details
- NPI number
- 1811392210
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Ellena, Medical Director(314) 996-3434
- License
- 036.108281 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-10-28
- Last updated
- 2014-11-12
Frequently asked questions
- What is Fairview Heights Medical Group, Sc's NPI number?
- Fairview Heights Medical Group, Sc's National Provider Identifier (NPI) is 1811392210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairview Heights Medical Group, Sc?
- Fairview Heights Medical Group, Sc is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Fairview Heights Medical Group, Sc located?
- Fairview Heights Medical Group, Sc's practice location on file with NPPES is 670 Mason Ridge Center Dr, Saint Louis, MO 63141-8573.
- What is Fairview Heights Medical Group, Sc's phone number?
- The practice phone number listed in the NPPES registry for Fairview Heights Medical Group, Sc is (314) 996-7644.
- Who is the authorized official for Fairview Heights Medical Group, Sc?
- The authorized official listed on Fairview Heights Medical Group, Sc's NPPES record is John Ellena, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairview Heights Medical Group, Sc's NPI active?
- Yes — Fairview Heights Medical Group, Sc's NPI (1811392210) is active in the NPPES registry as of the last update on 2014-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.