Individual provider Active NPI

Jeffrey Calvin, MD

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1750764866
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2019017087 Issued in MO
Practice address
621 S New Ballas Rd Ste 6005B
Saint Louis, MO 63141-8273
Phone
(314) 251-6075
Fax
(314) 251-6634
NPI assigned
Jul 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2019017087 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 6005B
Saint Louis, MO 63141-8273

Mailing address

621 S New Ballas Rd Ste 6005B
Saint Louis, MO 63141-8273
Phone (314) 251-6075

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
I20200804002733 MO Practitioner - Neurology 3173825551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Chicago College of Medicine and Surgery, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgery and Neurology LLCGroup PAC ID 2769412246, 13 clinicians
Mercy Clinic Neurology, LLCGroup PAC ID 8729183967, 21 clinicians

Practice addresses (Care Compare)

226 S Woods Mill Rd
Chesterfield, MO 63017-3662
Phone (314) 878-2888

621 S New Ballas Rd
5003B
Saint Louis, MO 63141-8270
Phone (314) 227-2020

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Jun 24, 2022 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jun 24, 2022 Accepting new patients
Neurosurgery and Neurology LLC Neurology CurrentSince Nov 1, 2025 Accepting new patients
Mercy Clinic Neurology, LLC Neurology CurrentSince Jul 1, 2020 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

226 S Woods Mill Rd
Ste 58
Chesterfield, MO 63017
Phone (314) 877-2888

232 S Woods Mill Rd
Ste 400E
Chesterfield, MO 63017
Phone (314) 205-6744

621 S New Ballas Rd
Ste 6005B
Saint Louis, MO 63141
Phone (314) 251-6075

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

621 S New Ballas Rd
Ste 5003B
Saint Louis, MO 63141
Phone (314) 227-2020

1176 Town and Country Commons Dr
Town and Country, MO 63017
Phone (636) 207-2200

Interoperability endpoints

  • Direct secure messaging: jcalvin1054984@directc.mercy.net

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 6

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1750764866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 6005B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418273",
            "telephone_number": "314-251-6075",
            "fax_number": "314-251-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 6005B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418273",
            "telephone_number": "314-251-6075",
            "fax_number": "314-251-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVIN",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2019017087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.