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

Jared Koen, MD

Individual provider Surgery Physician · NPI 1841641164

Jared Koen, MD is a Diagnostic Radiology in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Radiology Associates of Ridgewood P A, an 18-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
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

3655 Vista Ave Ste 116
Saint Louis, MO 63110-2539
Phone: (314) 268-5499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 — (952) 595-1100

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2021014025 (MO)
Surgery Physician Taxonomy 208600000X · Licence 2016017305 (MO)

Record details

NPI number1841641164
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2016
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesNEUROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Radiology Associates Of Ridgewood P A — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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