Individual provider Active NPI

Jeffrey Carter, M.D.

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1720022429
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
106782 Issued in MO
Practice address
6150 Oakland Ave
Saint Louis, MO 63139-3215
Phone
(314) 644-7040
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 106782 MO Primary

Addresses

Primary practice location

6150 Oakland Ave
Saint Louis, MO 63139-3215

Mailing address

1836 Lackland Hill Pkwy
Attn: Credentialing
Saint Louis, MO 63146-3572
Phone (314) 989-0300

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
I20050617000020 MO Practitioner - Anesthesiology 8921040403 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Yale University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro-West Anesthesia Group IncGroup PAC ID 2163329921, 204 clinicians

Practice addresses (Care Compare)

1015 Bowles Ave
Fenton, MO 63026-2394
Phone (636) 496-2000

300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000

6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 485-1101

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091
  • SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106782MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Missouri Hospital Physicians, LLC CurrentSince May 1, 2025 Accepting new patients
Metro-West Anesthesia Group Inc Anesthesiology CurrentSince Aug 22, 2022 Accepting new patients
Ambulatory Anesthesia Services of Missouri LLC Anesthesiology Past Accepting new patients
Forest Park Anesthesia, Inc Anesthesiology Past Accepting new patients

Locations

1 Hospital Dr
#4140
Columbia, MO 65212
Phone (573) 882-3629

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

6150 Oakland Ave
Saint Louis, MO 63139
Phone (314) 768-3000

Interoperability endpoints

  • Direct secure messaging: jcarter238279@direct.carenet.org
  • Direct secure messaging: jcarter429178@direct-ehr-ssmhc.com

Organizations & group practices 5

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 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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1720022429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "address_2": "ATTN: CREDENTIALING",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300",
            "fax_number": "314-810-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OAKLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393215",
            "telephone_number": "314-644-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JEFFREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "106782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.