JONATHAN J. LUSARDI M.D. – NPI #1487940672
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

JONATHAN LUSARDI is an otolaryngologist located in BRIDGETON, MO. NPPES has assigned the NPI number 1487940672 to JONATHAN LUSARDI on June 26, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 5 years ago on Apr 27, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JONATHAN LUSARDI below.

NPI Profile for
JONATHAN J. LUSARDI

NPI Number
1487940672
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JONATHAN J. LUSARDI
Credentials
M.D.
Primary location
12255 DEPAUL DR 830N
BRIDGETON, MO 63044
Phone: (314) 291-5307 Fax: (314) 291-0838
Mailing address
12255 DEPAUL DR SUITE 830N
BRIDGETON, MO 63044-2510
Phone: (314) 291-5307 Fax: (314) 291-0838
Sole Proprietor
No
Updated
Certification Date
Mar 31, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)
MO 2016009655

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JONATHAN LUSARDI is affiliated with the following medical group(s):
  • HOSPITAL
    • MERCY HOSPITAL SOUTH
      10010 KENNERLY ROAD
      SAINT LOUIS, MO 63128
    • MERCY HOSPITAL ST LOUIS
      615 NEW BALLAS ROAD
      SAINT LOUIS, MO 63141
    • MERCY HOSPITAL WASHINGTON
      901 EAST 5TH STREET
      WASHINGTON, MO 63090

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