DR. ELLIS R. BERKOWITZ (M.D.02) – Internal Medicine Physician, NPI 1124058425

DR. ELLIS R. BERKOWITZ (M.D.02) is a healthcare provider. based in St. joseph, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.02. They hold a License No. R8874 (MO). The NPI Number for DR. ELLIS R. BERKOWITZ (M.D.02) is 1124058425

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLIS R. BERKOWITZ (M.D.02)
NPI
1124058425
Phone
(816) 271-4935
Address
3517 BECK RD.
Enumeration Date
3 July 2006
Last Update Date
9 December 2020

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8162711067
Graduation Year
1977 (49 years ago)
PAC ID
7214958883
Group Practice PAC ID
6709772767
Professional Enrollment ID
I20051209000752
Address ID
MO645063840SA5202XSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,186 INTERNAL MEDICINE in MO

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Provider Addresses for DR. ELLIS R. BERKOWITZ (M.D.02)

  • 3517, Beck Road, Ashland, Saint Joseph, Buchanan County, Missouri, 64506, United States

    BLDG F

    ST. JOSEPH, MO 64506

    Phone: (816) 271-4935

    Fax: (816) 233-5340

    Type: Mailing

  • 5514 CORPORATE DR STE 120

    SAINT JOSEPH, MO 645077754

    Phone: (816) 271-1350

    Fax: (816) 271-1355

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051209000752IInternal MedicineMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,035457$0
99213Established patient office or other outpatient visit, 20-29 minutes301214$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit257257$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes24487$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes229102$0
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Insurance plans in this area (ZIP 64506)

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Provider's Procedures

DR. ELLIS R. BERKOWITZ (M.D.02) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709772767View full group profile
NameSpecialtyState
Nurse PractitionerIN
Cardiovascular Disease (Cardiology)MO
Family PracticeMO
Certified Clinical Nurse Specialist (Cns)MO
Internal MedicineMO
A N E S T H E S I O L O G YMO
-MO
Nurse PractitionerMO
-MO
-MO

Reviews

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Frequently asked questions

How do I look up DR. ELLIS R. BERKOWITZ (M.D.02) by NPI?
Use NPI 1124058425 when you need to reference DR. ELLIS R. BERKOWITZ (M.D.02) in forms, claims, or directories.
Does this profile mean DR. ELLIS R. BERKOWITZ (M.D.02) is currently active?
Yes — DR. ELLIS R. BERKOWITZ (M.D.02) appears active in the national provider directory.
What field does DR. ELLIS R. BERKOWITZ (M.D.02) work in?
You can think of DR. ELLIS R. BERKOWITZ (M.D.02) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. ELLIS R. BERKOWITZ (M.D.02) practice in Missouri?
You will see St. Joseph, Missouri on file for DR. ELLIS R. BERKOWITZ (M.D.02) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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