Individual provider Active NPI

John Henry Peloza, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Chesterfield, MO
National Provider Identifier
1245283548
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
2022016370 Issued in MO
Practice address
14825 N. Outer 40 Rd
Suite 310
Chesterfield, MO 63017-5058
Phone
(314) 530-6350
Fax
(636) 812-6240
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X G7094 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X 2022016370 MO Primary

Addresses

Primary practice location

14825 N. Outer 40 Rd
Suite 310
Chesterfield, MO 63017-5058

Mailing address

14825 N. Outer 40 Rd
Suite 310
Chesterfield, MO 63017-5058
Phone (314) 530-6350

Other practice location 1

17980 Dallas Parkway
Suite 300
Dallas, TX 75287
Phone (214) 378-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 21, 2022 through Jun 21, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022016370MOMDOrthopaedic Surgery of the Spine Physician
G7094TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John H Peloza MD PA Orthopaedic Surgery of the Spine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1245283548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N. OUTER 40 RD",
            "address_2": "SUITE 310",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175058",
            "telephone_number": "314-530-6350",
            "fax_number": "636-812-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N. OUTER 40 RD",
            "address_2": "SUITE 310",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175058",
            "telephone_number": "314-530-6350",
            "fax_number": "636-812-6240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17980 Dallas Parkway",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75287",
            "country_code": "US",
            "telephone_number": "214-378-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELOZA",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-03-10",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "G7094",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MO",
            "license": "2022016370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.