Individual provider Active NPI

Mitchell Tarka, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Creve Coeur, MO
National Provider Identifier
1235661489
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
2023025686 Issued in MO
Practice address
633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739
Phone
(314) 991-2013
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 2023025686 MO Primary

Addresses

Primary practice location

633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739

Mailing address

633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739
Phone (314) 991-2013

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
I20230914001849 MO Practitioner - Orthopedic Surgery 3072884089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Missouri, Kansas City, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Health LLCGroup PAC ID 2567695893, 12 clinicians

Practice addresses (Care Compare)

633 Emerson Rd
Creve Coeur, MO 63141-6739

706 S Bishop Ave
Rolla, MO 65401-4347
Phone (573) 612-1998

992 Wentzville Pkwy
Motion Orthopaedics
Wentzville, MO 63385-3695
Phone (314) 991-2013

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Health LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

706 S Bishop Ave
Rolla, MO 65401
Phone (573) 612-1998

633 Emerson Rd
Ste 10
Saint Louis, MO 63141
Phone (314) 991-2150

633 Emerson Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 325-3068

633 Emerson Rd
Ste 100
Saint Louis, MO 63141
Phone (314) 872-7744

992 Wentzville Pkwy
Wentzville, MO 63385
Phone (314) 991-4342

Interoperability endpoints

  • Direct secure messaging: mtarka@motionortho.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1235661489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD STE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-991-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD STE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-991-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARKA",
        "first_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MO",
            "license": "2023025686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.