Active NPI
Jared Michael Engles, D.O.
- Anesthesiology Physician
- Saint Louis, MO
National Provider Identifier
1093079725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2012020613
- Practice address
- 2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313 - Phone
- (314) 966-9491
- NPI assigned
- Jun 27, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2012020613 | MO | Primary |
Addresses
Primary practice location
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Mailing address
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone (314) 966-9491
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 E 14TH St
Sedalia, MO 65301-5972
Hospital & facility affiliations
- Bothwell Regional Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothwell Regional Health Center | Current | Accepting new patients | |
| Bothwell Regional Health Center | Current | Accepting new patients |
Locations
601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1093079725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 DOUGHERTY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223313",
"telephone_number": "314-966-9491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 DOUGHERTY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223313",
"telephone_number": "314-966-9491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLES",
"first_name": "JARED",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "2012020613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.