Individual provider Active NPI

Jason David Keune, MD, MBA

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1093735672
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2008003496 Issued in MO
Practice address
1034 S Brentwood Blvd Ste 550
Saint Louis, MO 63117-1265
Phone
(314) 977-4440
Fax
(314) 977-1630
NPI assigned
Jul 19, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2008003496 MO Primary

Addresses

Primary practice location

1034 S Brentwood Blvd Ste 550
Saint Louis, MO 63117-1265

Mailing address

1008 S Spring Ave
Saint Louis, MO 63110-2520
Phone (314) 977-3530

Electronic endpoints 4

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address jkeune121223@direct-ehr-ssmhc.com Direct
Direct Messaging Address jkeune121223@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130803000214 MO Practitioner - General Surgery 6002058021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Washington University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Vein Clinics of Missouri LLCGroup PAC ID 6103298468, 2 clinicians

Practice addresses (Care Compare)

8790 Watson Rd
Suite 201
Saint Louis, MO 63119-5140
Phone (888) 768-3467

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Medical Associates P.C. Surgery CurrentSince Oct 1, 2024 Accepting new patients

Locations

13300 Technology Dr
Ste 106
Eden Prairie, MN 55344
Phone (952) 920-0580

9501 N Oak Trfy
Ste 201
Kansas City, MO 64155
Phone (816) 420-8282

8790 Watson Rd
Ste 201
Saint Louis, MO 63119
Phone (314) 543-2800

Interoperability endpoints

  • Direct secure messaging: jkeune121223@direct-ehr-ssmhc.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1093735672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 S SPRING AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102520",
            "telephone_number": "314-977-3530",
            "fax_number": "314-771-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 550",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171265",
            "telephone_number": "314-977-4440",
            "fax_number": "314-977-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUNE",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-09-29",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2008003496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "SSM Health Saint Louis University Hospital",
            "address_2": "1201 S. Grand Blvd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkeune121223@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jkeune121223@direct-ehr-ssmhc.com",
            "address_1": "SSM Health Saint Louis University Hospital",
            "address_2": "1201 S. Grand Blvd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkeune121223@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jkeune121223@direct-ehr-ssmhc.com",
            "address_1": "1034 S Brentwood Blvd Ste 550",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1034 S Brentwood Blvd Ste 550",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631171265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.