NPIMap

Individual provider Active NPI

Jennifer Diana Szalkowski, MD

  • Family Medicine Physician
  • Belleville, IL
National Provider Identifier
1275524290
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036135973 Issued in IL
Practice address
310 N 7 Hills Rd Ste 220
Belleville, IL 62269-4111
Phone
(618) 624-6181
NPI assigned
Oct 31, 2005
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036135973 IL Primary

Addresses

Primary practice location

310 N 7 Hills Rd Ste 220
Belleville, IL 62269-4111

Mailing address

310 N 7 Hills Rd Ste 220
Belleville, IL 62269-4111
Phone (618) 624-6181

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141031000129 IL Practitioner - Family Practice 2163556002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians

Practice addresses (Care Compare)

310 N 7 Hills Rd
Suite 220
O Fallon, IL 62269-4111
Phone (618) 624-6181

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
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
Fairview Heights Medical Group SC CurrentSince Nov 7, 2023 Accepting new patients
Fairview Heights Medical Group SC CurrentSince Aug 15, 2023 Accepting new patients
Physician Groups LC Family Medicine Past Accepting new patients
Physician Groups LC Past Accepting new patients
PC Associates, LLC Family Medicine Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

310 N 7 Hills Rd
O Fallon, IL 62269
Phone (618) 624-6181

310 N 7 Hills Rd
Ste 220
O Fallon, IL 62269
Phone (618) 624-6181

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6481

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1275524290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 7 HILLS RD STE 220",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622694111",
            "telephone_number": "618-624-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 7 HILLS RD STE 220",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622694111",
            "telephone_number": "618-624-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZALKOWSKI",
        "first_name": "JENNIFER",
        "middle_name": "DIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036135973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "310 N 7 Hills Rd Ste 220",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622694111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.