Active NPI
Daniel Lee Jackson, MD
- Maternal & Fetal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 2015013283
- Practice address
- 621 S New Ballas Rd Ste 2007
Saint Louis, MO 63141-8232 - Phone
- (314) 251-0000
- NPI assigned
- Jun 12, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2015013283 | MO | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 2015013283 | MO | Primary |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | 2015013283 | MO |
Addresses
Primary practice location
621 S New Ballas Rd Ste 2007
Saint Louis, MO 63141-8232
Mailing address
621 S New Ballas Rd Ste 2007
Saint Louis, MO 63141-8232
Phone (573) 251-0000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Missouri, Columbia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 S New Ballas Rd
2007B
Saint Louis, MO 63141-8265
Phone (314) 951-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015013283 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Womens Services LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Clinic Maternal Fetal Medicine LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Clinic Adult Psychiatry, LLC | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Locations
12125 Conway Rd
Ste 160
Saint Louis, MO 63141
Phone (314) 251-2870
621 S New Ballas Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 951-5000
621 S New Ballas Rd
Ste 2007B
Saint Louis, MO 63141
Phone (314) 951-5000
10010 Kennerly Rd
Ste 4034
Saint Louis, MO 63128
Phone (314) 991-5000
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
621 S New Ballas Rd
Ste 2009B
Saint Louis, MO 63141
Phone (314) 251-6062
10004 Kennerly Rd
Ste 395B
Saint Louis, MO 63128
Phone (314) 849-3500
Organizations & group practices 6
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.
-
- Maternal & Fetal Medicine Physician
- Saint Louis, MO
- NPI 1952810129
-
- Psychiatry Physician
- Festus, MO
- NPI 1750788972
-
- Clinic/Center
- Saint Louis, MO
- NPI 1851431738
-
- Obstetrics & Gynecology Physician
- Saint Louis, MO
- NPI 1629327788
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1952561938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 2007",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "573-251-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 2007",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-251-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "DANIEL",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2015013283",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MO",
"license": "2015013283",
"primary": true
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "MO",
"license": "2015013283",
"primary": false
}
],
"identifiers": [],
"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 Sep 3, 2026; 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.