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

Jason Rabenold, MD

Individual provider Orthopaedic Surgery Physician · NPI 1417122847

Jason Rabenold, MD is an Orthopedic Surgery in Saint Louis, Missouri. Graduated from State University of Ny Upstate Medical University in 2003, 23 years ago. Practices with Physical Therapy Spine and Sports Medicine LLC, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
23
Trained at
State University of Ny Upstate Medical University
Licensed in
MO
In the registry since
2008
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

555 N New Ballas Rd Ste 175
Saint Louis, MO 63141-6884
Phone: (314) 786-2663
Fax: (314) 279-1037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 845 N New Ballas Ct, Saint Louis, MO 63141-7134 — (314) 983-4747

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2009010059 (MO)

Record details

NPI number1417122847
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2008
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2003 (23 years in practice)
Group practice Physical Therapy Spine And Sports Medicine Llc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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