Individual provider Active NPI

Jeffrey D Harris, M.D.

  • Pulmonary Disease Physician
  • Saint Louis, MO
National Provider Identifier
1922070812
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
36609 Issued in MO
Practice address
2531 S Big Bend Blvd
Suite 1
Saint Louis, MO 63143-2105
Phone
(314) 647-7801
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 36609 MO Primary

Addresses

Primary practice location

2531 S Big Bend Blvd
Suite 1
Saint Louis, MO 63143-2105

Mailing address

11222 Tesson Ferry Rd
Suite 100
Saint Louis, MO 63123-6963
Phone (314) 843-1866

Other identifiers 1

IdentifierTypeStateIssuer
202549523MedicaidMO

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
I20100901000563 MO Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 7618990367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
Education
University of Florida College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caduceus CorporationGroup PAC ID 3678527553, 2 clinicians

Practice addresses (Care Compare)

11200 Tesson Ferry Rd
Saint Louis, MO 63123-6923

11200 Tesson Ferry Rd
Suite 1
Saint Louis, MO 63123-6968
Phone 3146455855304

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
56.84
Improvement activities
40
Cost
81.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36609MOMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iron County Hospital District CurrentSince Oct 1, 2017 Accepting new patients
Iron County Hospital District CurrentSince Oct 1, 2017 Accepting new patients
West County Pulmonary Associates Pulmonary Disease Past Accepting new patients
Alliance Inpatient Medicine Inc PastSince Jul 1, 2000 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jeffreyharris@ccorp.allscriptsdirect.net
  • Direct secure messaging: harris.jeffrey.1@10551.direct.athenahealth.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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1922070812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11222 TESSON FERRY RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236963",
            "telephone_number": "314-843-1866",
            "fax_number": "314-843-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2531 S BIG BEND BLVD",
            "address_2": "SUITE 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631432105",
            "telephone_number": "314-647-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "36609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202549523",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.