Individual provider Active NPI

Jay Patel, MD

  • Orthopaedic Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1316359565
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2021028383 Issued in MO
Practice address
425 North New Ballas Road
Suite 230
St. Louis, MO 63141-6848
Phone
(314) 266-2066
Fax
(314) 266-2069
NPI assigned
May 22, 2014
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2021028383 MO Primary

Addresses

Primary practice location

425 North New Ballas Road
Suite 230
St. Louis, MO 63141-6848

Mailing address

425 North New Ballas Road
Suite 230
St. Louis, MO 63141-6848
Phone (314) 266-2066

Other practice location 1

8100 Northland Dr
Bloomington, MN 55431-4800
Phone (952) 831-8742

Other identifiers 1

IdentifierTypeStateIssuer
1316359565MedicaidMO

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
I20210922000771 MO Practitioner - Orthopedic SurgeryPractitioner - NeurologyPractitioner - Sports Medicine 1658673116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Saint Louis University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onyx Spine Institute LLCGroup PAC ID 7113302191, 2 clinicians

Practice addresses (Care Compare)

425 N New Ballas Rd
Suite 230
Saint Louis, MO 63141-6848
Phone (314) 266-2066

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Sep 8, 2021 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Jul 1, 2022 Accepting new patients
Onyx Spine Institute, LLC CurrentSince Nov 27, 2023 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Sep 8, 2021 Accepting new patients

Locations

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

425 N New Ballas Rd
Ste 230
Saint Louis, MO 63141
Phone (314) 266-2066

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

3231 S National Ave
Ste 130
Springfield, MO 65807
Phone (417) 841-0280

Interoperability endpoints

  • Direct secure messaging: jaypatel@onyxspine.directglo.com

Organizations & group practices 4

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1316359565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 NORTH NEW BALLAS ROAD",
            "address_2": "SUITE 230",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631416848",
            "telephone_number": "314-266-2066",
            "fax_number": "314-266-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 NORTH NEW BALLAS ROAD",
            "address_2": "SUITE 230",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631416848",
            "telephone_number": "314-266-2066",
            "fax_number": "314-266-2069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Northland Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554314800",
            "country_code": "US",
            "telephone_number": "952-831-8742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2024-05-30",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2021028383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316359565",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.