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

Jose Marino Parra, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1821283193

Jose Marino Parra, MD is a Family Practice in Creve Coeur, Missouri. Qualified in 1991, 35 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
35
Licensed in
IL, MO
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

522 N New Ballas Rd Ste 317
Creve Coeur, MO 63141-6840
Phone: (636) 534-0200
Fax: (636) 534-0211
Show map & directions

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

Additional practice locations (1)

  • 4135 Mexico Rd, Saint Peters, MO 63376-6410 — (636) 534-0200

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 2009020188 (MO)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 125-057368 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2009020188 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2009020188 (MO)

Record details

NPI number1821283193
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 10, 2007
Last updated in NPPESJuly 17, 2024
Certification dateJuly 8, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount