Active NPI
Jacob Yankowitz, DO
- Family Medicine Physician
- Hillsboro, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019020205
- 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
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 |
|---|---|---|---|---|
| Family Medicine Physician | 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsboro Primary Care | Single Specialty | Current | Accepting new patients |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| David J Stansfield DO LLC | Single Specialty | Current | Accepting new patients |
| SSM Medical Group, Inc. | Single Specialty | Current | 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
- 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.
-
dba SSM Health Medical Group
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
Single Specialty
-
dba SSM Health Medical Group
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St. Clare Hospital - Fenton
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.