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DR. JESSICA ELLIE MA MD
NPI 1356755201
General Practice in Saint Louis, MO

Active since June 19, 2014PECOS Enrolled
216 S KINGSHIGHWAY BLVD FL 6, 6TH FLOOR, SAINT LOUIS, MO 63110(314) 362-5060(314) 362-6959 Get Directions Write a Review

NPPES record last updated: January 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jessica Ellie Ma Md NPPES

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

DR. JESSICA ELLIE MA MD (NPI 1356755201) is an individual general practice provider in Saint Louis, Missouri, licensed in Missouri (2016029095) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2014).

NPPES Registry Identity

NPI1356755201
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. JESSICA ELLIE MACredential: MD
Location Address216 S KINGSHIGHWAY BLVD FL 6, 6TH FLOORSaint Louis, MO 63110-1026
Mailing Address660 S Euclid Ave, C B 8121Saint Louis, MO 63110-1010 · (314) 454-8082 · Fax (314) 362-7491
Phone(314) 362-5060
Fax(314) 362-6959
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2014
Enumeration DateJune 19, 2014
Last NPPES UpdateJanuary 24, 2018
✔ NPI 1356755201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2016029095
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
216 S KINGSHIGHWAY BLVD FL 6, Saint Louis, MO 63110
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Ellie Ma Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830317767
PECOS Enrollment IDI20260521000852
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jessica Ma's NPI number?

The NPI number for Jessica Ma is 1356755201. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Jessica Ma located?

Jessica Ma practices at 216 S Kingshighway Blvd Fl 6 6th Floor, Saint Louis, MO 63110. The listed phone number is (314) 362-5060.

What is Jessica Ma's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jessica Ma enrolled in Medicare?

Yes. Jessica Ma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Ma was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.