Jeffrey B Judd, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R1H83 Issued in MO

Practice address

10010 Kennerly Rd
Saint Louis, MO 63128-2106

Phone

(314) 525-1165

Fax

(314) 525-1485

NPI assigned

Dec 8, 2005

Last updated

Jul 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, PA, FL, TN4 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 4

Specialty

Diagnostic Radiology

Education

Washington University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West County Radiological Group IncGroup PAC ID 8527966944, 105 clinicians

Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians

Surgical Institute of Reading LLCGroup PAC ID 5890899959, 7 clinicians

Savannah Chatham Imaging LLCGroup PAC ID 6800890245, 32 clinicians

Vanderbilt University Medical CenterGroup PAC ID 5092023416, 3,510 clinicians

USA Radiology Management Solutions LLCGroup PAC ID 3577780337, 26 clinicians

Dynamic Radiology Tennessee PCGroup PAC ID 6204207798, 5 clinicians

Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians

USA Radiology of Pennsylvania LLCGroup PAC ID 0345594388, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
• Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
• Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017
• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072
• Lecom Medical Center and Behavioral Health Pav Hospital, Erie, PA, CCN 390198

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Missouri Delta Medical Center

  • Internal Medicine Physician
  • Sikeston, MO
  • NPI 1508967860
  Medicare reassignment Care Compare group NPD
• USA Radiology Management Solutions LLC

  • Diagnostic Radiology Physician
  • Rolla, MO
  • NPI 1689091076
  Medicare reassignment Care Compare group NPD
• Memphis Physicians Radiological Group PC

  • Diagnostic Radiology Physician
  • Memphis, TN
  • NPI 1134231574

  FL

  Medicare reassignment Care Compare group NPD
• Savannah Chatham Imaging LLC

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1992721278

  MO

  Medicare reassignment Care Compare group NPD
• Surgical Institute of Reading LLC

  • Diagnostic Radiology Physician
  • Wyomissing, PA
  • NPI 1144781451
  Medicare reassignment Care Compare group NPD
• USA Radiology of Pennsylvania, LLC

  • Body Imaging Physician
  • Meadville, PA
  • NPI 1164907655

  MO

  Medicare reassignment Care Compare group NPD
• Vanderbilt University Medical Center

  dba Vanderbilt Medical Group

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761

  Diagnostic Radiology, FL

  Medicare reassignment Care Compare group NPD
• West County Radiological Group, Inc.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1477500585

  FL

  Medicare reassignment Care Compare group
• Dynamic Radiology Tennessee, PC

  • Diagnostic Radiology Physician
  • Clarksville, TN
  • NPI 1588387096
  Medicare reassignment Care Compare group
• Pemiscot County Memorial Hospital

  • Emergency Care Clinic/Center
  • Hayti, MO
  • NPI 1578668661
  Medicare reassignment NPD
• Titusville Area Hospital

  • Critical Access Hospital
  • Titusville, PA
  • NPI 1891899332
  Medicare reassignment NPD
• South County Pet Imaging, LLC

  • Body Imaging Physician
  • Saint Louis, MO
  • NPI 1285619189
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospitals East Communities

  dba Mercy Hospital St Louis

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1427098169
  Care Compare affiliation
• Mercy Hospitals East Communities

  dba Mercy St. Louis Transport Ambulance

  • Land Ambulance
  • Saint Louis, MO
  • NPI 1881329902

  Hospital

  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health Medical Group

  • Rural Health Clinic/Center
  • Salem, MO
  • NPI 1194077701

  Hospital

  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health

  • Rehabilitation Hospital Unit
  • Rolla, MO
  • NPI 1346287455
  Care Compare affiliation
• Phelps County Regional Medical Center

  dba Phelps Health

  • General Acute Care Hospital
  • Rolla, MO
  • NPI 1891766051
  Care Compare affiliation
• Dyersburg Health

  dba Dyersburg Employee Pharmacy

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  dba LECOM Health Sterrettania Medical Center

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1245126762

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  • Cardiovascular Disease Physician
  • Erie, PA
  • NPI 1245865583

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  dba LECOM Health Waterford Family Practice

  • Family Medicine Physician
  • Waterford, PA
  • NPI 1326934746

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  dba LECOM Health Eye Care Center

  • Ophthalmology Physician
  • Erie, PA
  • NPI 1366338881

  Hospital

  Care Compare affiliation
• Millcreek Community Hospital

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1548263973
  Care Compare affiliation
• Millcreek Community Hospital

  dba LECOM Health Geriatrics & Internal Medicine

  • Geriatric Medicine (Internal Medicine) Physician
  • Erie, PA
  • NPI 1831085356

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1689659039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 OLDE CABIN RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417129",
            "telephone_number": "314-991-8200",
            "fax_number": "314-991-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-1165",
            "fax_number": "314-525-1485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16091 Swingley Ridge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "63017",
            "country_code": "US",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "751 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163352559",
            "country_code": "US",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Tyson Ave",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382424544",
            "country_code": "US",
            "telephone_number": "314-238-5260",
            "fax_number": "314-821-1833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12701 Post Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631311445",
            "country_code": "US",
            "telephone_number": "314-330-8424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "JEFFREY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036079642",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "37086",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "25729",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101241011",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0429845",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "21074",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R1H83",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q047763",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202637419",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Juang, PHD
• Paul Juang, PHARM.D.
• Jubilee Community Church
• Brian Judd, DDS
• Elizabeth Mullanphy Judd, CPNP, PMHS
• Jennifer Stephan Judd, CRNA
• John Patrick Judd, MD
• Nancy P Judd, MD
• Ryan Thomas Judd, MD
• Judevine, Inc. (Judevine Center for Autism)

• Diagnostic Radiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.