Individual provider Active NPI

Jacob Yankowitz, DO

  • Family Medicine Physician
  • Hillsboro, MO
National Provider Identifier
1427619196
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019020205 Issued in MO
Practice address
10279 Business 21
Hillsboro, MO 63050-3598
Phone
(636) 789-3941
NPI assigned
Jun 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2019020205 MO Primary

Addresses

Primary practice location

10279 Business 21
Hillsboro, MO 63050-3598

Mailing address

10279 Business 21
Hillsboro, MO 63050-3598
Phone (636) 789-3941

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
I20220908001567 MO Practitioner - Family Practice 3274868393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

1345 Smizer Mill Rd
Suite 1100
Fenton, MO 63026-7305
Phone (636) 496-5023

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Primary Care Single Specialty CurrentSince Apr 18, 2025 Accepting new patients
SSM Medical Group Inc. CurrentSince Aug 4, 2025 Accepting new patients
David J Stansfield DO LLC Single Specialty CurrentSince Aug 22, 2022 Accepting new patients
SSM Medical Group, Inc. Single Specialty CurrentSince Aug 4, 2025 Accepting new patients
SSM Health Care St. Louis Single Specialty Past Accepting new patients

Locations

1345 Smizer Mill Rd
Ste 1100
Fenton, MO 63026
Phone (636) 496-5022

10279 Business 21
Hillsboro, MO 63050
Phone (636) 677-6200

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

Interoperability endpoints

  • Direct secure messaging: jyankowitz328119@direct-ehr-ssmhc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1427619196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10279 BUSINESS 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630503598",
            "telephone_number": "636-789-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10279 BUSINESS 21",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630503598",
            "telephone_number": "636-789-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKOWITZ",
        "first_name": "JACOB",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019020205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

Verify at the official NPI Registry.