JEREMY POLK AA
NPI 1346699865
Anesthesiologist Assistant in Saint Louis, MO

Active since June 06, 2016Accepts Medicare Assignment
10010 KENNERLY RD, SAINT LOUIS, MO 63128(636) 386-3722(636) 200-4036 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jeremy Polk Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY POLK AA (NPI 1346699865) is an individual anesthesiologist assistant in Saint Louis, Missouri, licensed in Missouri (2016017707) and active in the NPI registry since June 2016. He is affiliated with Mercy Hospital South and is a graduate of Other (2016).

NPPES Registry Identity

NPI1346699865
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameJEREMY POLKCredential: AA
Location Address10010 KENNERLY RDSaint Louis, MO 63128-2106
Mailing AddressPo Box 22407Saint Louis, MO 63126-0407 · (636) 386-7222 · Fax (636) 200-4036
Fax(636) 200-4036
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2016
NPI 1346699865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in MO · 2016017707
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
10010 KENNERLY RD, Saint Louis, MO 63128

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jeremy Polk Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789976366
PECOS Enrollment IDI20160630001729

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
21 services21 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
13 services13 patients
Anesthesia for procedure on upper 2/3rd of thigh bone 01230
Anesthesia for a procedure on the upper 2/3rd of the thigh bone involves administering medication to numb the area or make you unconscious, ensuring you don't feel pain during the operation. It's a safe and routine part of surgical procedures.
12 services12 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
11 services11 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Physical Medicine & Rehabilitation
10010 KENNERLY RD, 4TH FLOOR - ACUTE REHAB
SAINT LOUIS, MO 63128
Radiology (Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Dietitian, Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Nurse Practitioner (Family)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Emergency Medicine
10010 KENNERLY RD
SAINT LOUIS, MO 63128
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Polk's NPI number?

The NPI number for Jeremy Polk is 1346699865. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Jeremy Polk located?

Jeremy Polk practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (636) 386-3722.

What is Jeremy Polk's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jeremy Polk enrolled in Medicare?

Yes. Jeremy Polk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jeremy Polk affiliated with any hospitals?

According to CMS data, Jeremy Polk is affiliated with Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Jeremy Polk was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.