Active NPI
Jeffrey Thomas Kreikemeier, M.D.
- Gastroenterology Physician
- Chesterfield, MO
National Provider Identifier
1063456986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 2002007685
- Practice address
- 121 Saint Lukes Center Dr
Suite 406
Chesterfield, MO 63017-3518 - Phone
- (314) 529-4900
- Fax
- (314) 849-4423
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2002007685 | MO | |
| Gastroenterology Physician | 207RG0100X | 2002007685 | MO | Primary |
Addresses
Primary practice location
121 Saint Lukes Center Dr
Suite 406
Chesterfield, MO 63017-3518
Mailing address
915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone (314) 289-6434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.28 of 100
- Quality
- 94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.6
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002007685 | MO | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana Gastroenterology, PLLC | Current | Accepting new patients | |
| Chesterfield Anesthesia Associates of Missouri, LLC | Past | Accepting new patients | |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Locations
500 W Broadway St
Ste A
Missoula, MT 59802
Phone (406) 284-5560
1930 W Broadway St
Ste B
Missoula, MT 59808
Phone (406) 541-6836
1930 W Broadway St
Ste A
Missoula, MT 59808
Phone (406) 541-6844
Organizations & group practices 3
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.
-
- Clinic/Center
- Missoula, MT
- NPI 1821612946
-
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
- NPI 1346633930
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1063456986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 N GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631061621",
"telephone_number": "314-289-6434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SAINT LUKES CENTER DR",
"address_2": "SUITE 406",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173518",
"telephone_number": "314-529-4900",
"fax_number": "314-849-4423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIKEMEIER",
"first_name": "JEFFREY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "2002007685",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MO",
"license": "2002007685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.