DR. JACK WILLIAM JENNINGS MD NPI 1164552774

NPI Information

  • NPI: 1164552774
  • Provider Name: DR. JACK WILLIAM JENNINGS, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 510 S KINGSHIGHWAY BLVD
    DEPT RADIOLOGY
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 362-7200

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NPI Details

DR. Jack William Jennings, MD is a diagnostic radiology radiology in Saint Louis, MO with 24 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jack William Jennings, MD NPI is 1164552774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

510 S KINGSHIGHWAY BLVD
DEPT RADIOLOGY
SAINT LOUIS, MO
ZIP 63110-016
Phone: (314) 362-7200
Fax: (314) 747-4189

The NPI 1164552774 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Deep biopsy of bone using needle or trocar (HCPCS:20225)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of middle spine, 2 views (HCPCS:72070)
  • X-ray of entire middle and lower spine, 2-3 views (HCPCS:72082)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Complete ultrasound scan of joint (HCPCS:76881)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Needle biopsy of muscle (HCPCS:20206)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Biopsy of bone using needle or trocar (HCPCS:20220)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ct scan of arm without contrast (HCPCS:73200)
  • X-ray of entire middle and lower spine, minimum of 6 views (HCPCS:72084)
  • X-ray of upper spine, 6 or more views (HCPCS:72052)
  • Treatment of broken lower spine bone with placement of stabilizing device (HCPCS:22514)
  • Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance (HCPCS:22513)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Ct scan of leg with contrast material (HCPCS:73701)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of middle spine, 3 views (HCPCS:72072)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 3/6/2007 and was last updated on 4/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology2007012290MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1204592703MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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