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

Jacob T Ark, MD

Individual provider Urology Physician · NPI 1891053716

Jacob T Ark, MD is an Urology in Saint Louis, Missouri. Graduated from Vanderbilt University School of Medicine in 2012, 14 years ago. Practices with Urology of St Louis Inc, a 111-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
14
Trained at
Vanderbilt University School of Medicine
Licensed in
IL, MO
In the registry since
2012
Specialties on file
2
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

12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone: (314) 567-6071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 326 Fountains Pkwy, Fairview Heights, IL 62208-2041 — (618) 489-8030

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 36145240 (IL)
Urology Physician Taxonomy 208800000X · Licence 2018009509 (MO)

Record details

NPI number1891053716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2012
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Urology Of St Louis Inc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Saint Louis