Individual provider Active NPI

Jason John Gass, D.O.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1700224201
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2018022314 Issued in MO
Practice address
621 S New Ballas Rd Ste 7018B
Saint Louis, MO 63141
Phone
(314) 251-4949
Fax
(314) 251-4368
NPI assigned
Jun 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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 DO-04881 IA
Internal Medicine Physician 207R00000X 2018022314 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 7018B
Saint Louis, MO 63141

Mailing address

621 S New Ballas Rd Ste 7018B
Saint Louis, MO 63141-8256
Phone (314) 251-4949

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
I20181006000244 MO Practitioner - Infectious DiseasePractitioner - Internal Medicine 7012151020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Infectious Disease LLCGroup PAC ID 6103058862, 4 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 7018B
Saint Louis, MO 63141-8256
Phone (314) 251-4949

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-04881IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Infectious Disease LLC CurrentSince Sep 4, 2018 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

621 S New Ballas Rd
Ste 7018B
Saint Louis, MO 63141
Phone (314) 251-4949

Organizations & group practices 2

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 2

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1700224201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 7018B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418256",
            "telephone_number": "314-251-4949",
            "fax_number": "314-251-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 7018B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-251-4949",
            "fax_number": "314-251-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASS",
        "first_name": "JASON",
        "middle_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "DO-04881",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2018022314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.