Active NPI
Jarrett Glen Dawson, MD
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019016548
- Practice address
- 1035 Bellevue Ave Ste 305
Saint Louis, MO 63117-1845 - Phone
- (314) 925-4741
- NPI assigned
- Jun 1, 2017
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2019016548 | MO | Primary |
| Family Medicine Physician | 207Q00000X | 125-070793 | IL |
Addresses
Primary practice location
1035 Bellevue Ave Ste 305
Saint Louis, MO 63117-1845
Mailing address
PO Box 955534
Saint Louis, MO 63195-0001
Other practice location 1
180 S 3rd St Ste 300
Belleville, IL 62220-1952
Phone (618) 233-5480
Other practice location 2
180 S 3rd St Ste 300
Belleville, IL 62220
Phone (618) 233-5480
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdawson145536@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Saint Louis University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 Bellevue Ave
Suite 305
Saint Louis, MO 63117-1845
Phone (314) 644-6161
Hospital & facility affiliations
- SSM Health at Home Home Health-St. Louis
- SSM Health St Mary'S Hospital - St Louis
- SSM Health Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-070793 | IL | MD | Family Medicine Physician |
| 2019016548 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
1035 Bellevue Ave
Ste 305
Saint Louis, MO 63117
Phone (314) 644-6161
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.
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1609840552
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1154859239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955534",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 BELLEVUE AVE STE 305",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171845",
"telephone_number": "314-925-4741"
}
],
"practiceLocations": [
{
"address_1": "180 S 3rd St Ste 300",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622201952",
"country_code": "US",
"telephone_number": "618-233-5480",
"fax_number": "618-222-4790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 S 3rd St Ste 300",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "62220",
"country_code": "US",
"telephone_number": "618-233-5480",
"fax_number": "618-222-4790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "JARRETT",
"middle_name": "GLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-01",
"last_updated": "2022-07-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2019016548",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125-070793",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdawson145536@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jdawson145536@direct-ehr-ssmhc.com",
"address_1": "1035 Bellevue Ave Ste 305",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631171845",
"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 API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1035 Bellevue Ave Ste 305",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631171845",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 21, 2022; 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.