Active NPI
Jordan A McManus, DO
- Obstetrics & Gynecology Physician
- St. Louis, MO
National Provider Identifier
1043836844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2020017232
- Practice address
- 621 South New Ballas Road
Suite 2009 B
St. Louis, MO 63141 - Phone
- (314) 251-6062
- Fax
- (314) 251-4376
- NPI assigned
- Jun 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2020017232 | MO | Primary |
Addresses
Primary practice location
621 South New Ballas Road
Suite 2009 B
St. Louis, MO 63141
Mailing address
621 South New Ballas Road
Suite 2009 B
St. Louis, MO 63141
Phone (314) 251-6062
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240914000058 | MO | Practitioner - Obstetrics/Gynecology | 7911321310 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
3231 S National Ave
Springfield, MO 65807-7304
Phone (417) 885-0828
Hospital & facility affiliations
- Mercy Hospital Springfield
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.15 of 100
- Quality
- 88.15
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Single Specialty | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Single Specialty | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Single Specialty | Current | Accepting new patients |
| Mercy Hospital Springfield | Past | Accepting new patients |
Locations
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
3231 S National Ave
Ste 250
Springfield, MO 65807
Phone (417) 885-0827
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Networks
- IA HMO
- IA HMO C-SNP
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
MO, Single Specialty
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
MO, Single Specialty
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
Single Specialty
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1043836844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 SOUTH NEW BALLAS ROAD",
"address_2": "SUITE 2009 B",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-251-6062",
"fax_number": "314-251-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SOUTH NEW BALLAS ROAD",
"address_2": "SUITE 2009 B",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-251-6062",
"fax_number": "314-251-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANUS",
"first_name": "JORDAN",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-18",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2020017232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.