NPIMap

Individual provider Active NPI

Jeffrey Peter Ciaramita, M.D.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1679653323
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2004001626 Issued in MO
Practice address
625 S New Ballas Rd
Suite 2015
Saint Louis, MO 63141-8253
Phone
(314) 251-1700
Fax
(314) 251-1701
NPI assigned
Oct 17, 2006
Last updated
Apr 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2004001626 MO
Cardiovascular Disease Physician 207RC0000X 2004001626 MO Primary

Addresses

Primary practice location

625 S New Ballas Rd
Suite 2015
Saint Louis, MO 63141-8253

Mailing address

625 S New Ballas Rd
Suite 2015
Saint Louis, MO 63141-8253
Phone (314) 251-1700

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
I20040927000276 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284603382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Saint Louis University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Heart and Vascular LLCGroup PAC ID 8820016207, 112 clinicians

Practice addresses (Care Compare)

10012 Kennerly Rd
Saint Louis, MO 63128-2197

12348 Old Tesson Rd
Suite 260
Saint Louis, MO 63128-2251
Phone (314) 251-1777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Heart and Vascular, LLC Cardiovascular Disease CurrentSince Jul 7, 2008 Accepting new patients
Mercy Support Services Past Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Past Accepting new patients
Mercy Hospital Carthage Cardiovascular Disease PastSince Jul 1, 2021 Accepting new patients
Mercy Hospital Fort Smith PastSince Jul 1, 2021 Accepting new patients
Mercy Clinic Urology LLC PastSince Jul 1, 2020 Accepting new patients
St. John's Mercy Support Services Cardiovascular Disease Past Accepting new patients

Locations

10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807

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

625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775

901 Patients First Dr
#2500
Washington, MO 63090

Interoperability endpoints

  • Direct secure messaging: jciaramita14565@directc.mercy.net

Ownership & related parties

All facility ownership & control disclosures 21

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oklahoma Heart HospitalOklahoma City, OK, CCN 370215 Hospital Corporate Director Apr 28, 2025
Oklahoma Heart Hospital SouthOklahoma City, OK, CCN 370234 Hospital Corporate Director May 6, 2025
Mercy Hospital Logan CountyGuthrie, OK, CCN 371317 Hospital Corporate Director Jul 1, 2021
Mercy Hospital Logan CountyGuthrie, OK, CCN 37Z317 Hospital Corporate Director Jul 1, 2021
Mercy Hospital WatongaWatonga, OK, CCN 371302 Hospital Corporate Director Jul 1, 2021
Mercy Hospital Watonga IncWatonga, OK, CCN 37Z302 Hospital Corporate Director Jul 1, 2021
Mercy Hospital Kingfisher, IncKingfisher, OK, CCN 371313 Hospital Corporate Director Jul 1, 2021
Mercy Hospital Kingfisher, IncKingfisher, OK, CCN 37Z313 Hospital Corporate Director Jul 1, 2021
Mercy Hospital CarthageCarthage, MO, CCN 261338 Hospital Corporate Director Jul 1, 2021
Mercy Hospital CarthageCarthage, MO, CCN 26Z338 Hospital Corporate Director Jul 1, 2021
Mercy Hospital Tishomingo IncTishomingo, OK, CCN 37Z304 Hospital Corporate Director Jul 1, 2021
Mercy Home HealthOklahoma City, OK, CCN 377048 Home health agency Corporate Director Jul 1, 2021
Mercy HospiceFort Smith, AR, CCN 041504 Hospice Corporate Director Jul 1, 2021
Mercy HospiceOklahoma City, OK, CCN 371509 Hospice Corporate Director Jul 1, 2021
Mercy Hospital Logan County -Guthrie Division Primary CareGuthrie, OK, CCN 373993 Rural health clinic Corporate Director Jul 1, 2021
Mercy Hospital Logan County-Crescent Primary CareCrescent, OK, CCN 373990 Rural health clinic Corporate Director Jul 1, 2021
Mercy Clinic East CommunitiesSullivan, MO, CCN 268979 Rural health clinic Corporate Director Jan 9, 2022
Mercy Clinic East CommunitiesCuba, MO, CCN 268986 Rural health clinic Corporate Director Jan 9, 2022
Mercy Hospital Carthage-PediatricsCarthage, MO, CCN 268689 Rural health clinic Corporate Director Jul 1, 2021
Mercy Hospital Carthage-Women's HealthCarthage, MO, CCN 268688 Rural health clinic Corporate Director Jul 1, 2021
Mercy Clinic East CommunitiesBourbon, MO, CCN 268984 Rural health clinic Corporate Director Jan 9, 2022

Owned or controlled facilities with NPI records 22

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 22

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1679653323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD",
            "address_2": "SUITE 2015",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418253",
            "telephone_number": "314-251-1700",
            "fax_number": "314-251-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD",
            "address_2": "SUITE 2015",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418253",
            "telephone_number": "314-251-1700",
            "fax_number": "314-251-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIARAMITA",
        "first_name": "JEFFREY",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004001626",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2004001626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.