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

Tyler Marcus Jennings, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568966711

Tyler Marcus Jennings, DO is an Anesthesiology in Belleville, Illinois. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2018, 8 years ago. Practices with Metro-West Anesthesia Group Inc, a 205-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
8
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
IL, MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4500 Memorial Dr
Belleville, IL 62226-5360
Phone: (618) 257-4376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1402 S Grand Blvd # M260, Saint Louis, MO 63104-1004 — (314) 977-9851

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036.159237 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MO)

Record details

NPI number1568966711
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 22, 2018
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022
Mailing address4500 Memorial Dr, Belleville, IL 62226-5360

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2018 (8 years in practice)
Group practice Metro-West Anesthesia Group Inc — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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