Active NPI
Jonathan L Vitsky, MD
- Anatomic Pathology & Clinical Pathology Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 108588
- Practice address
- 232 S Woods Mill Rd
Chesterfield, MO 63017-3417 - Phone
- (314) 205-6983
- Fax
- (314) 205-6830
- NPI assigned
- Feb 20, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 108588 | MO | Primary |
Addresses
Primary practice location
232 S Woods Mill Rd
Chesterfield, MO 63017-3417
Mailing address
7044 Kingsbury Blvd
University City, MO 63130-4329
Phone (314) 205-6983
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100901000322 | MO | Practitioner - Pathology | 1153358445 |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Vanderbilt University School of Medicine, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
232 S Woods Mill Rd
St Louis, MO 63141-3417
655 Craig Rd
Suite 112
Saint Louis, MO 63141-7168
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108588 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
Organizations & group practices 1
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.
-
- Specialist
- Chesterfield, MO
- NPI 1295932663
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447225842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7044 KINGSBURY BLVD",
"city": "UNIVERSITY CITY",
"state": "MO",
"postal_code": "631304329",
"telephone_number": "314-205-6983",
"fax_number": "314-205-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 S WOODS MILL RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173417",
"telephone_number": "314-205-6983",
"fax_number": "314-205-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITSKY",
"first_name": "JONATHAN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "108588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
- 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.