Active NPI
Jeffrey L Craver, MD
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- R5A28
- Practice address
- 1402 S Grand Blvd
Saint Louis, MO 63104-1004 - Phone
- (314) 768-8803
- Fax
- (314) 977-7615
- NPI assigned
- Apr 28, 2006
- Last updated
- Aug 26, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | R5A28 | MO | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036-060815 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C4174 | KY |
Addresses
Primary practice location
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Mailing address
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 768-8803
Other practice location 1
800 Rose St
Lexington, KY 40536-1004
Phone (859) 257-1446
Other names 1
- Dr. Jeffrey L Craver
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | jcraver274102@direct-ehr-ssmhc.com | Other | |
| Direct Messaging Address | jcraver274102@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Washington University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 242-4600
10101 Woodfield LN
Saint Louis, MO 63132-2946
Phone (608) 280-4647
2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3000
6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 768-8208
800 Rose St
Lexington, KY 40536-7001
Phone (859) 257-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-060815 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Cardinal Glennon Childrens Hospital | Current | Accepting new patients | |
| SSM Health Care Group | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| University of Kentucky | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Cardinal Glennon Children's Hospital | Current | Accepting new patients | |
| WCP Pathology, PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
1402 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 577-8762
1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
3691 Rutger St
Saint Louis, MO 63110
Phone (314) 268-4101
Interoperability endpoints
- jcraver274102@direct-ehr-ssmhc.com
Organizations & group practices 8
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.
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Anatomic Pathology & Clinical Pathology, IL
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
dba SSM Health Cardinal Glennon Children's Hospital
- Pediatrics Physician
- O'Fallon, IL
- NPI 1174577670
MO
-
dba SSM Health Cardinal Glennon Pediatrics
- Pediatrics Physician
- Warrenton, MO
- NPI 1962573212
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Clinical Medical Laboratory
- Maryland Heights, MO
- NPI 1215008396
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Cardinal Glennon Children's Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
dba SSM Health St. Mary's Hospital - St. Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
dba SSM Health St. Mary's Hospital Jefferson City
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1518065523
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- General Acute Care Hospital
- Lexington, KY
- NPI 1518911338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1629035886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041004",
"telephone_number": "314-768-8803",
"fax_number": "314-977-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041004",
"telephone_number": "314-768-8803",
"fax_number": "314-977-7615"
}
],
"practiceLocations": [
{
"address_1": "800 Rose St",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405361004",
"country_code": "US",
"telephone_number": "859-257-1446",
"fax_number": "859-257-7572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAVER",
"first_name": "JEFFREY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "R5A28",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036-060815",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "C4174",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "jcraver274102@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1402 S Grand Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041004",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcraver274102@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jcraver274102@direct-ehr-ssmhc.com",
"address_1": "1402 S Grand Blvd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631041004",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "CRAVER",
"middle_name": "L",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.