Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elie C Ellenberg, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1942839071

Elie C Ellenberg, MD is an Orthopedic Surgery in Saint Louis, Missouri. Qualified in 2021, 5 years ago. Works from 2 locations.

Years since qualifying
5
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 257-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 — (734) 936-4000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1942839071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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