Jason B Amato, M.D.

Key facts

NPI

1609832476

Entity type

Individual (NPI type 1)

Primary specialty

Specialist 174400000X

License

112774 (MO)

Practice address

522 N New Ballas Rd
Ste 203
Saint Louis, MO 63141-6819

Phone

(314) 569-3323

Fax

(314) 569-3358

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

Yes

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.

• Jason B. Amato, MD Dermatology, LLC Dermatology Physician · Saint Louis, MO · NPI 1962751115
  Medicare reassignment Care Compare group NPD Authorized official MO

Medicare Care Compare profile

Specialty

Dermatology

Education

Saint Louis University School of Medicine, 1997

Medicare assignment

May accept Medicare assignment

Group practices

Jason B. Amato, MD Dermatology, LLC (4 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100 (group)

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamato236327@direct-ehr-ssmhc.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/hHhBZnqD5ZnFB3frpd36dudKBHu6EKvB/

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 30, 2019.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1609832476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416819",
            "telephone_number": "314-569-3323",
            "fax_number": "314-569-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416819",
            "telephone_number": "314-569-3323",
            "fax_number": "314-569-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO",
        "first_name": "JASON",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "112774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "457893",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "143496",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7111216",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "070015818",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jasonamatomd@jamatoderm.cernerdirect.com",
            "affiliation": "N",
            "address_1": "522 N NEW BALLAS RD",
            "address_2": "STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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