JASON B. AMATO, MD DERMATOLOGY, LLC
NPI 1962751115
Dermatology in Saint Louis, MO

Active since September 04, 2012
522 N NEW BALLAS RD, SUITE 203, SAINT LOUIS, MO 63141(314) 569-3323(314) 569-3358 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason B. Amato, Md Dermatology, Llc NPPES

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

JASON B. AMATO, MD DERMATOLOGY, LLC (NPI 1962751115) is a healthcare organization registered as a dermatology in Saint Louis, Missouri and active in the NPI registry since September 2012. The organization lists Jason B Amato, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1962751115
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJASON B. AMATO, MD DERMATOLOGY, LLC
Location Address522 N NEW BALLAS RD, SUITE 203Saint Louis, MO 63141-6857
Mailing Address522 N New Ballas Rd, Suite 203Saint Louis, MO 63141-6857 · (314) 569-3323 · Fax (314) 569-3358
Fax(314) 569-3358
Organization SubpartNo
Authorized OfficialJason B AmatoPhysician/owner · (314) 569-3323
Enumeration DateSeptember 4, 2012
✔ NPI 1962751115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MO · 112774
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
522 N NEW BALLAS RD, Saint Louis, MO 63141

Other Identifiers 2

Medicare UPINH32029MO
Medicare PIN000095249MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason B. Amato, Md Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20121211000186Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Jason B. Amato, MD Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1083968838
522 N NEW BALLAS RD SUITE 203
Saint Louis, MO 63141
(314) 569-3323
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1609832476
522 N NEW BALLAS RD STE 203
Saint Louis, MO 63141
(314) 569-3323
✔ PECOSSame address
Nurse Practitioner
NPI 1285176297
522 N NEW BALLAS RD STE 203
Saint Louis, MO 63141
(314) 569-3323
✔ PECOSSame address

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

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 Jason B. Amato, MD Dermatology, LLC's NPI number?

The NPI number for Jason B. Amato, MD Dermatology, LLC is 1962751115. It was assigned to this organization in the NPPES registry on September 4, 2012.

Where is Jason B. Amato, MD Dermatology, LLC located?

Jason B. Amato, MD Dermatology, LLC is located at 522 N New Ballas Rd Suite 203, Saint Louis, MO 63141. The listed phone number is (314) 569-3323.

What is Jason B. Amato, MD Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jason B. Amato, MD Dermatology, LLC enrolled in Medicare?

Yes. Jason B. Amato, MD Dermatology, LLC is registered in the Medicare PECOS enrollment system.

When is Jason B. Amato, MD Dermatology, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jason B. Amato, MD Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jason B. Amato, MD Dermatology, LLC, in Dermatology and Nurse Practitioner. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jason B. Amato, MD Dermatology, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Jason B. Amato, MD Dermatology, LLC 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 Jason B. Amato, MD Dermatology, LLC was last updated on September 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.