Active NPIIndividual provider

Dr. Jonathan J Beitler, MD, MBA, FACR

Healthcare Provider in Saint Louis, Missouri

NPI Number1265536635
Practice location
915 N Grand Blvd, Saint Louis, MO 63106-1621
Fax
—
Last updated
January 8, 2026

Jonathan Jay Beitler is a Healthcare Provider based in Saint Louis, MO. Jonathan Jay Beitler practices in Saint Louis, MO and has the professional credentials of MD, MBA, FACR. The NPI Number for Jonathan Jay Beitler is 1265536635 and holds a License No. 043800 (CT). The current practice location address for Jonathan Jay Beitler is 915 N Grand Blvd, Saint Louis, MO 63106-1621 and can be reached out via phone at 314-289-6324.

Provider Profile Details

NPI Number
1265536635
Provider Name
Jonathan Jay Beitler
Credential
MD, MBA, FACR
Provider Entity Type
Individual
Gender
Male
Address
915 N Grand Blvd, Saint Louis, MO 63106-1621
Phone Number
314-289-6324
Primary Taxonomy
Healthcare Provider · 2085R0001X
Sole Proprietor
No
Provider Enumeration Date
September 7, 2006
Last Update Date
January 8, 2026
Certification Date
January 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
915 N Grand Blvd
Saint Louis, MO 63106-1621
Zip
63106-1621
Phone Number
314-289-6324
Saint Louis, MO 63106Get directions →

Provider Business Mailing Address Details

Address
1 Ogden RD
New Canaan, CT 06840-2210
City
New Canaan
State
CT
Zip
06840-2210
Phone Number
203-972-0160

License Information

License Number (1)
043800
License State (1)
CT
Taxonomy (1)
Preventive Medicine, Aerospace Medicine · 2083A0100X
License Number (2)
043800
License State (2)
CT
Taxonomy (2)
· 2085R0001X
License Number (3)
G63032
License State (3)
CA
Taxonomy (3)
· 2085R0001X
License Number (4)
154501
License State (4)
NY
Taxonomy (4)
Preventive Medicine, Aerospace Medicine · 2083A0100X
License Number (5)
154501
License State (5)
NY
Taxonomy (5)
· 2085R0001X
License Number (6)
60043
License State (6)
GA
Taxonomy (6)
· 2085R0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jonathan J Beitler, MD, MBA, FACR?

The NPI number of Dr. Jonathan J Beitler, MD, MBA, FACR is 1265536635. It was assigned on September 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan J Beitler, MD, MBA, FACR?

Dr. Jonathan J Beitler, MD, MBA, FACR is registered under the primary taxonomy Healthcare Provider (code 2085R0001X), licensed in CT under license number 043800.

Where does Dr. Jonathan J Beitler, MD, MBA, FACR practice?

The practice location is 915 N Grand Blvd, Saint Louis, MO 63106-1621. The office can be reached at 314-289-6324 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265536635 directly on the NPPES registry website.

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