Active NPI
Lorgis Ignacio Jimenez Perez, MD
- Internal Medicine Physician
- Crystal Cty, MO
National Provider Identifier
1255022422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2026035148
- Practice address
- 1400 US Highway 61
Crystal Cty, MO 63028-4108 - Phone
- (636) 933-5337
- NPI assigned
- May 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2026035148 | MO | Primary |
Addresses
Primary practice location
1400 US Highway 61
Crystal Cty, MO 63028-4108
Mailing address
1400 US Highway 61
Crystal Cty, MO 63028-4108
Phone (636) 933-5337
Other practice location 1
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339
Other practice location 2
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1328
Other practice location 3
901 E 5th St
Washington, MO 63090-3127
Phone (636) 239-8231
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- lorgis.jimenez.1@18107.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1255022422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 US HIGHWAY 61",
"city": "CRYSTAL CTY",
"state": "MO",
"postal_code": "630284108",
"telephone_number": "636-933-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 US HIGHWAY 61",
"city": "CRYSTAL CTY",
"state": "MO",
"postal_code": "630284108",
"telephone_number": "636-933-5337"
}
],
"practiceLocations": [
{
"address_1": "615 S New Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "314-251-6339",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10010 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282106",
"country_code": "US",
"telephone_number": "314-525-1328",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 E 5th St",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "MO",
"postal_code": "630903127",
"country_code": "US",
"telephone_number": "636-239-8231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMENEZ PEREZ",
"first_name": "LORGIS",
"middle_name": "IGNACIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2026035148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Cty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.