Individual provider Active NPI

Jerome David Sachar, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1225146582
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R7C95 Issued in MO
Practice address
3023 N Ballas
Ste 440D
St Louis, MO 63131
Phone
(314) 432-8181
Fax
(314) 432-0090
NPI assigned
Aug 28, 2006
Last updated
Apr 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R7C95 MO Primary

Addresses

Primary practice location

3023 N Ballas
Ste 440D
St Louis, MO 63131

Mailing address

3023 N Ballas
Ste 440D
St Louis, MO 63131
Phone (314) 432-8181

Other identifiers 1

IdentifierTypeStateIssuer
201920725MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Current Accepting new patients

Locations

3023 N Ballas Rd
Ste 440D
Saint Louis, MO 63131
Phone (314) 432-8181

Organizations & group practices 1

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1225146582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS",
            "address_2": "STE 440D",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-432-8181",
            "fax_number": "314-432-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS",
            "address_2": "STE 440D",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-432-8181",
            "fax_number": "314-432-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHAR",
        "first_name": "JEROME",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R7C95",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201920725",
            "state": "MO"
        }
    ],
    "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 Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.