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

Dr. Jonathan Jerome Lusardi, MD

Individual provider Otolaryngology Physician · NPI 1487940672

Dr. Jonathan Jerome Lusardi, MD is an Otolaryngology in Bridgeton, Missouri. Graduated from Saint Louis University School of Medicine in 2011, 15 years ago. Practices with Mercy Clinic ENT LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Trained at
Saint Louis University School of Medicine
Licensed in
MO
In the registry since
2011
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

12255 Depaul Dr 830N
Bridgeton, MO 63044
Phone: (314) 291-5307
Fax: (314) 291-0838
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2016009655 (MO)

Record details

NPI number1487940672
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2011
Last updated in NPPESApril 27, 2021
Certification dateMarch 31, 2021

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Mercy Clinic Ent Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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