NPIMap

Individual provider Active NPI

Jeffrey Paul Tillinghast, M.D.

  • Allergy & Immunology Physician
  • Saint Louis, MO
National Provider Identifier
1447393301
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
R7B86 Issued in MO
Practice address
969 N Mason Rd Ste 240
Saint Louis, MO 63141-6338
Phone
(314) 542-0606
Fax
(314) 542-0212
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X R7B86 MO Primary

Addresses

Primary practice location

969 N Mason Rd Ste 240
Saint Louis, MO 63141-6338

Mailing address

969 N Mason Rd Ste 240
Saint Louis, MO 63141-6338
Phone (314) 542-0606

Other identifiers 3

IdentifierTypeStateIssuer
118205OtherMOHEALTHLINK
28644OtherMOBLUE SHIELD
030000959OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100331000202 MO Practitioner - Internal MedicinePractitioner - Allergy/Immunology 7416083258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Washington University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Specialists in Medicine, PCGroup PAC ID 3971533027, 3 clinicians

Practice addresses (Care Compare)

9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314

969 N Mason Rd
Suite 240
Saint Louis, MO 63141-6338
Phone (314) 542-0606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.04 of 100Reported as individual
Quality
89.11
Promoting interoperability
100
Improvement activities
40
Cost
71.02

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Specialists in Medicine, PC Allergy & Immunology CurrentSince Dec 31, 1991 Accepting new patients

Locations

1040 N Mason Rd
Ste 115
Saint Louis, MO 63141
Phone (314) 542-0606

969 N Mason Rd
Ste 240
Saint Louis, MO 63141
Phone (314) 542-0606

Interoperability endpoints

  • Direct secure messaging: jeffrey.tillinghast.1@4817.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4817/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 6

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1447393301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 N MASON RD STE 240",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416338",
            "telephone_number": "314-542-0606",
            "fax_number": "314-542-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 N MASON RD STE 240",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416338",
            "telephone_number": "314-542-0606",
            "fax_number": "314-542-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLINGHAST",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MO",
            "license": "R7B86",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "118205",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "28644",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "030000959",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.