Individual provider Active NPI

Sarah Jane Tilling, DO

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1649433566
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2011030408 Issued in MO
Practice address
1715 Deer Tracks TRL
Ste 110
Saint Louis, MO 63131-1839
Phone
(314) 919-2600
Fax
(314) 919-2677
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2011030408 MO Primary

Addresses

Primary practice location

1715 Deer Tracks TRL
Ste 110
Saint Louis, MO 63131-1839

Mailing address

1715 Deer Tracks Trail Road
Ste 110
Saint Louis, MO 63131
Phone (314) 919-2600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000517 MO Practitioner - Obstetrics/Gynecology 1557517042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Kansas City University of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

1000 Des Peres Rd
Suite 300
Saint Louis, MO 63131-2040
Phone (314) 292-7080

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011030408MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Obstetrics & Gynecology CurrentSince Aug 6, 2012 Accepting new patients
Mercy Clinic East Communities CurrentSince Aug 6, 2012 Accepting new patients
Physician Groups LC Obstetrics & Gynecology Past Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

1715 Deer Tracks Trl
Ste 110
Saint Louis, MO 63131
Phone (314) 919-2600

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

1000 Des Peres Rd
Ste 300
Saint Louis, MO 63131
Phone (314) 919-2600

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Interoperability endpoints

  • Direct secure messaging: stilling98734@directc.mercy.net

Organizations & group practices 4

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 4

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1649433566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 DEER TRACKS TRAIL ROAD",
            "address_2": "STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63131",
            "telephone_number": "314-919-2600",
            "fax_number": "314-919-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 DEER TRACKS TRL",
            "address_2": "STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311839",
            "telephone_number": "314-919-2600",
            "fax_number": "314-919-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLING",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2011030408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.