Individual provider Active NPI

Jesse Meir Zaretsky, MD PHD

  • Medical Oncology Physician
  • Saint Louis, MO
National Provider Identifier
1760042089
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2022036641 Issued in MO
Practice address
4500 Forest Park Ave
Div Im Medical Oncology, Ste 1B
Saint Louis, MO 63108-2114
Phone
(314) 747-1171
Fax
(314) 362-7086
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 2022036641 MO Primary
Internal Medicine Physician 207R00000X 2022036641 MO

Addresses

Primary practice location

4500 Forest Park Ave
Div Im Medical Oncology, Ste 1B
Saint Louis, MO 63108-2114

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 747-1171

Other identifiers 1

IdentifierTypeStateIssuer
200073280MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250827004005 MO Practitioner - Medical OncologyPractitioner - Internal Medicine 4486985439 Reassigns benefits to 1 organization
I20250910002801 IL Practitioner - Medical OncologyPractitioner - Internal Medicine 4486985439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians
Washington University Physicians in Illinois IncGroup PAC ID 4789945163, 168 clinicians

Practice addresses (Care Compare)

4500 Forest Park Ave
Suite 1a
Saint Louis, MO 63108-2114
Phone (314) 362-1291

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (314) 747-1171

Hospital & facility affiliations

  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022036641MOMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Aug 1, 2025 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Aug 11, 2025 Accepting new patients
Washington University CurrentSince Aug 1, 2025 Accepting new patients
Washington University Physicians in Illinois, Inc Current Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Aug 11, 2025 Accepting new patients

Locations

1418 Cross St
Ste 180
Shiloh, IL 62269
Phone (618) 607-1340

1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

4500 Forest Park Ave
Ste 1B
Saint Louis, MO 63108

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700

8 Millstone Campus Dr
Saint Louis, MO 63146
Phone (314) 273-4375

1234 S Kingshighway Blvd
Ste 1100
Saint Louis, MO 63110

4500 Forest Park Ave
Ste 1A
Saint Louis, MO 63108

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 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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1760042089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-747-1171",
            "fax_number": "314-362-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FOREST PARK AVE",
            "address_2": "DIV IM MEDICAL ONCOLOGY, STE 1B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082114",
            "telephone_number": "314-747-1171",
            "fax_number": "314-362-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARETSKY",
        "first_name": "JESSE",
        "middle_name": "MEIR",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2026-05-29",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "2022036641",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2022036641",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200073280",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4500 Forest Park Ave",
            "address_2": "Div IM Medical Oncology, Ste 1B",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631082114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.