Active NPI
Jordan Charles Nepute, MD
- Diagnostic Radiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD0000058745
- Practice address
- 10010 Kennerly Rd
Saint Louis, MO 63128 - Phone
- (314) 525-4481
- NPI assigned
- Jun 26, 2013
- Last updated
- Jul 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 58745 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | MD466288 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 2018005762 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | MD0000058745 | TN | Primary |
Addresses
Primary practice location
10010 Kennerly Rd
Saint Louis, MO 63128
Mailing address
11475 Olde Cabin Rd Ste 200
Saint Louis, MO 63141-7129
Phone (314) 991-8210
Other practice location 1
1402 S Grand Blvd Rm M260
Saint Louis, MO 63104-1004
Phone (314) 977-9853
Other practice location 2
16091 Swingley Ridge Rd Ste 100
Chesterfield, MO 63017-2056
Phone (877) 588-3627 ext. 266
Other practice location 3
12735 Wynfield Pines Ct
Saint Louis, MO 63131-2156
Phone (314) 307-1824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q047642 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, PA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Saint Louis University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1165
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600
11 Fairlane Rd
Reading, PA 19606-9567
Phone (610) 378-8810
12735 Wynfield Pines CT
Saint Louis, MO 63131-2156
Phone (615) 322-5000
1301 Medical Ctr Dr
Nashville, TN 37232-0028
Phone (615) 322-5000
2752 Century Blvd
Wyomissing, PA 19610-3345
Phone (610) 372-8031
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191
7037 Lindenwood PL
Saint Louis, MO 63109-1114
Phone (314) 238-5260
751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5140
946 E Reed
Hayti, MO 63851
Phone (314) 821-8055
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000058745 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt University Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Memphis Physicians Radiological Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Surgical Institute of Reading LLC | Diagnostic Radiology | Current | Accepting new patients |
| Pemiscot County Memorial Hospital | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Pemiscot County Memorial Hospital | Current | Accepting new patients | |
| Savannah Chatham Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lauderdale Community Hospital LLC | Past | Accepting new patients |
Locations
Dept A T 40379
Atlanta, GA 31192
Dept AT 40379
Atlanta, GA 31192
5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172
10 Little Brook Rd
West Wareham, MA 02576
16091 Swingley Ridge Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 728-2222
946 E Reed St
Hayti, MO 63851
Phone (573) 359-3408
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
11 Fairlane Rd
Reading, PA 19606
Phone (610) 378-8810
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
1301 Medical Center Dr
Nashville, TN 37232
Phone (615) 343-4882
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1134231574
MO
-
- Diagnostic Radiology Physician
- Wyomissing, PA
- NPI 1144781451
-
dba Vanderbilt Medical Group
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
Diagnostic Radiology, MO
-
- Diagnostic Radiology Physician
- Rolla, MO
- NPI 1689091076
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1477500585
-
- Emergency Care Clinic/Center
- Hayti, MO
- NPI 1578668661
-
dba Delta Regional Pharmacy
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
-
- Rural Acute Care Hospital
- Hayti, MO
- NPI 1437179710
-
dba Lauderdale Community Hospital
- Critical Access Hospital
- Ripley, TN
- NPI 1376175687
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
dba West Tennessee Healthcare County Hospital
- General Acute Care Hospital
- Paris, TN
- NPI 1497750244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1821438607",
"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": "314-991-8210"
},
{
"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": "63128",
"telephone_number": "314-525-4481"
}
],
"practiceLocations": [
{
"address_1": "1402 S Grand Blvd Rm M260",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041004",
"country_code": "US",
"telephone_number": "314-977-9853",
"fax_number": "314-977-9852",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16091 Swingley Ridge Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630172056",
"country_code": "US",
"telephone_number": "877-588-3627 x266",
"fax_number": "636-519-7965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12735 Wynfield Pines Ct",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631312156",
"country_code": "US",
"telephone_number": "314-307-1824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEPUTE",
"first_name": "JORDAN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-26",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "TN",
"license": "58745",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD466288",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2018005762",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "MD0000058745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q047642",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.