Individual provider Active NPI

Jay Daniel Guyll, DO

  • Pediatrics Physician
  • Springfield, MO
National Provider Identifier
1154070506
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2025032316 Issued in MO
Practice address
2115 S Fremont Ave Ste 2900
Springfield, MO 65804-2233
Phone
(417) 820-3535
NPI assigned
Mar 22, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2025032316 MO Primary

Addresses

Primary practice location

2115 S Fremont Ave Ste 2900
Springfield, MO 65804-2233

Mailing address

2115 S Fremont Ave Ste 2900
Springfield, MO 65804-2233
Phone (417) 820-3535

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
I20250812002356 MO Practitioner - Pediatric Medicine 4183122880 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2025032316MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Aug 4, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 4, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 4, 2025 Accepting new patients
Mercy Hospital Springfield Past Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

2115 S Fremont Ave
Ste 2900
Springfield, MO 65804
Phone (417) 820-3535

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.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1154070506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 S FREMONT AVE STE 2900",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042233",
            "telephone_number": "417-820-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S FREMONT AVE STE 2900",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042233",
            "telephone_number": "417-820-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYLL",
        "first_name": "JAY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-22",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2025032316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.