Individual provider Active NPI

Jeffrey Michael Craft, M.D., PH.D.

  • Radiation Oncology Physician
  • Saint Louis, MO
National Provider Identifier
1497936231
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2012003232 Issued in MO
Practice address
607 S New Ballas Rd
Suite T1275
Saint Louis, MO 63141-8222
Phone
(314) 251-6844
Fax
(314) 251-4337
NPI assigned
Nov 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 2012003232 MO Primary

Addresses

Primary practice location

607 S New Ballas Rd
Suite T1275
Saint Louis, MO 63141-8222

Mailing address

11475 Olde Cabin Rd
Suite 200
Saint Louis, MO 63141-7128
Phone (314) 991-8200

Other identifiers 1

IdentifierTypeStateIssuer
1497936231MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120703000281 MO Practitioner - Radiation Oncology 2062677784 Reassigns benefits to 2 organizations
I20170209000564 IL Practitioner - Radiation Oncology 2062677784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Northwestern University Feinberg Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West County Radiological Group IncGroup PAC ID 8527966944, 105 clinicians

Practice addresses (Care Compare)

6836 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-9044

901 Patients 1St Dr
Washington, MO 63090-4700
Phone (636) 231-6252

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Mercy Hospital Lincoln Hospital, Troy, MO, CCN 261319

Merit-based Incentive Payment System (MIPS)

Final score
84.77 of 100Reported as group
Quality
86.95
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012003232MOMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West County Radiological Group, Inc. Radiation Oncology CurrentSince Jul 1, 2012 Accepting new patients

Locations

6836 State Route 162
Maryville, IL 62062
Phone (618) 277-5882

15945 Clayton Rd
Ballwin, MO 63011
Phone (636) 256-5280

1350 US Highway 61
Crystal Cty, MO 63028
Phone (636) 931-3655

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

10050 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1688

607 S New Ballas Rd
Ste T1275
Saint Louis, MO 63141
Phone (314) 251-6844

11475 Olde Cabin Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 991-8200

607 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4283

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

851 E 5th St
Ste 100
Washington, MO 63090
Phone (636) 239-8258

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

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 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": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1497936231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 OLDE CABIN RD",
            "address_2": "SUITE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417128",
            "telephone_number": "314-991-8200",
            "fax_number": "314-569-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S NEW BALLAS RD",
            "address_2": "SUITE T1275",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418222",
            "telephone_number": "314-251-6844",
            "fax_number": "314-251-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MO",
            "license": "2012003232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497936231",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.