Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JENNIFER L. HEITHAUS MD
NPI 1639468135
Pediatrics - Developmental - Behavioral Pediatrics in Saint Louis, MO

Active since April 05, 2011PECOS EnrolledAccepts Medicare Assignment
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5609(314) 268-4028 Get Directions Write a Review

NPPES record last updated: October 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2026, May 4, 2021, Sep 26, 2019 and 3 more (6 updates tracked since 2017).

About Dr. Jennifer L. Heithaus Md NPPES

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

DR. JENNIFER L. HEITHAUS MD (NPI 1639468135) is an individual developmental - behavioral pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2014007663) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2010).

NPPES Registry Identity

NPI1639468135
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDR. JENNIFER L. HEITHAUSCredential: MD
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing AddressPo Box 503900Saint Louis, MO 63150-3900 · (314) 577-5609 · Fax (314) 268-4028
Fax(314) 268-4028
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2010
Enumeration DateApril 5, 2011
Last NPPES UpdateOctober 16, 20266 updates tracked since enumeration
NPPES CertifiedOctober 16, 2026
✔ NPI 1639468135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in MO · 2014007663
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedPediatricsTaxonomy 208000000X · License 2014007663 (MO)
1465 S GRAND BLVD, Saint Louis, MO 63104

Other Names 1

Former Name (1)Jennifer Lukac

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer L. Heithaus Md 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 ID3072815448
PECOS Enrollment IDI20170608002235
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Heithaus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
Pediatrics
2927 S . KINGS HIGHWAY BLVD
Saint Louis, MO 63139
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
ST.LOUIS, MO 63104
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104

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 Jennifer Heithaus's NPI number?

The NPI number for Jennifer Heithaus is 1639468135. It was assigned to this individual provider in the NPPES registry on April 5, 2011. The provider is also known as Jennifer Lukac.

Where is Jennifer Heithaus located?

Jennifer Heithaus practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5609.

What is Jennifer Heithaus's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Jennifer Heithaus enrolled in Medicare?

Yes. Jennifer Heithaus 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.

Which organizations bill Medicare for Jennifer Heithaus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Heithaus reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and Ssm Cardinal Glennon Childrens Hospital (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Heithaus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Heithaus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Jennifer Heithaus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Heithaus was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.