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

Jeremy R Tietjens, MD

Individual provider Internal Medicine Physician · NPI 1023384831

Jeremy R Tietjens, MD is an Interventional Cardiology in Saint Louis, Missouri. Graduated from Icahn School of Medicine at Mount Sinai in 2012, 14 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
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

3023 N Ballas Rd Ste 200D
Saint Louis, MO 63131-2328
Phone: (314) 996-7272
Show map & directions

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

Additional practice locations (1)

  • 505 Parnassus Ave, San Francisco, CA 94143-2204 — (415) 476-9000

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 2020020220 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2020020220 (MO)

Record details

NPI number1023384831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2012
Last updated in NPPESAugust 30, 2021
Certification dateAugust 11, 2021

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 2012 (14 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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