Individual provider Active NPI

John Joseph O'Keefe III, M.D.

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1891790788
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
R7491 Issued in MO
Practice address
12818 Tesson Ferry Rd Ste 102
Saint Louis, MO 63128-2945
Phone
(314) 849-5665
Fax
(314) 849-0274
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 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 R7491 MO Primary

Addresses

Primary practice location

12818 Tesson Ferry Rd Ste 102
Saint Louis, MO 63128-2945

Mailing address

12818 Tesson Ferry Rd Ste 102
Saint Louis, MO 63128-2945
Phone (314) 849-5665

Other identifiers 3

IdentifierTypeStateIssuer
130008428OtherMORAILROAD MEDICARE
23276OtherBLUE CROSS BLUE SHIELD
R7491MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address johnokeefe@slnai.allscriptsdirect.net

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
I20100827000952 MO Practitioner - Neurology 0143344192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of Ny Upstate Medical University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12818 Tesson Ferry Rd
Suite 201
Saint Louis, MO 63128-2945
Phone (314) 849-5665

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Neurology Associates Inc Neurology CurrentSince Dec 31, 1991 Accepting new patients

Locations

12818 Tesson Ferry Rd
Ste 201
Saint Louis, MO 63128
Phone (314) 843-4044

12818 Tesson Ferry Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 729-0489

12810 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 842-0020

Interoperability endpoints

  • Direct secure messaging: johnokeefe@slnai.allscriptsdirect.net

Organizations & group practices 1

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 1

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1891790788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12818 TESSON FERRY RD STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282945",
            "telephone_number": "314-849-5665",
            "fax_number": "314-849-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 TESSON FERRY RD STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282945",
            "telephone_number": "314-849-5665",
            "fax_number": "314-849-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "R7491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130008428",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "23276",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R7491",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnokeefe@slnai.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "12818 Tesson Ferry Rd Ste 102",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631282945",
            "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.