DR. JACK ROH OAK MD NPI 1326269648

NPI Information

  • NPI: 1326269648
  • Provider Name: DR. JACK ROH OAK, MD
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12266 DE PAUL DR STE 305
    BRIDGETON, MO
    ZIP 63044
  • Phone: (314) 770-0991

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NPI Details

DR. Jack Roh Oak, MD is a vascular surgery surgery in Bridgeton, MO with 25 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Jack Roh Oak, MD NPI is 1326269648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

12266 DE PAUL DR STE 305
BRIDGETON, MO
ZIP 63044-514
Phone: (314) 770-0991

The NPI 1326269648 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.

  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of arm and leg arteries (HCPCS:93922)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts (HCPCS:93978)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Review by radiologist of abdominal aorta image (HCPCS:75625)
  • Review by radiologist of arm or leg artery image (HCPCS:75710)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
  • Ultrasound of one leg arteries or artery grafts (HCPCS:93926)
  • Spinal fusion (HCPCS:NAN02)
  • Varicose vein removal (HCPCS:NAN08)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 5/2/2007 and was last updated on 8/1/2023.

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
12086S0129XSurgeryVascular Surgery2003009197MISSOURIYes

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
1209363209MEDICAIDMISSOURI

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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