Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jaime Zengotita, MD

Individual provider Family Medicine Physician · NPI 1093896201

Dr. Jaime Zengotita, MD is a Family Practice in Saint Louis, Missouri. Graduated from Ponce School of Medicine in 1997, 29 years ago. Practices with Family Care Health Centers, a 52-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
29
Trained at
Ponce School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4352 Manchester Ave
Saint Louis, MO 63110-2138
Phone: (314) 531-5444
Fax: (314) 531-0063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2004017285 (MO)

Record details

NPI number1093896201
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Family Care Health Centers — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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