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

Dr. Jason B Vangundy, MD

Individual provider Family Medicine Physician · NPI 1790746071

Dr. Jason B Vangundy, MD is a Family Practice in Lake St Louis, Missouri. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1998, 28 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
28
Trained at
University of Iowa, Rj & L Carver College 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

400 Medical Plz Ste 200
Lake St Louis, MO 63367-1417
Phone: (636) 625-2662
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Medical Plz, Lake St Louis, MO 63367-1481 — (636) 625-2662

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2001012077 (MO)

Record details

NPI number1790746071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-5534

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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