NPIMap

Individual provider Active NPI

Jeffrey L. Boesch, M.D.

  • Internal Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1972566024
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R7H21 Issued in MO
Practice address
222 S Woods Mill Rd
Suite 630
Chesterfield, MO 63017-3625
Phone
(314) 878-4141
Fax
(314) 878-4853
NPI assigned
Apr 10, 2006
Last updated
Nov 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R7H21 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd
Suite 630
Chesterfield, MO 63017-3625

Mailing address

222 S Woods Mill Rd
Suite 630
Chesterfield, MO 63017-3625
Phone (314) 878-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000215 MO Practitioner - Internal Medicine 3870526379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DRS. Mera, Boesch and Kumar, LLCGroup PAC ID 9032142534, 4 clinicians
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

121 Saint Lukes Ctr Dr
Chesterfield, MO 63017-3519
Phone (636) 685-7727

7212 Balson Ave
Saint Louis, MO 63130-3001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7H21MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Weight Management Specialists, LLC Internal Medicine CurrentSince Aug 11, 2024 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Delmar Gardens of Chesterfield Operating, LLC Past Accepting new patients

Locations

121 Saint Lukes Center Dr
Ste 305
Chesterfield, MO 63017
Phone (314) 205-1926

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Surrey Place St Luke's Hospital Skilled NursingChesterfield, MO, CCN 265414 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF		 Jul 1, 2024
Jul 1, 2024
Jan 28, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1972566024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 630",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-878-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD",
            "address_2": "SUITE 630",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173625",
            "telephone_number": "314-878-4141",
            "fax_number": "314-878-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESCH",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R7H21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.