TYLER MARCUS JENNINGS DO
NPI 1568966711
Anesthesiology in Belleville, IL

NPI Status: Active since March 22, 2018

Contact Information

4500 MEMORIAL DR
BELLEVILLE, IL
ZIP 62226
Phone: (618) 257-4376

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  • Individual
  • Male
  • Years of Experience 8
  • Anesthesiology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About TYLER JENNINGS

This page provides the complete NPI Profile along with additional information for Tyler Jennings, an anesthesiologist established in Belleville, Illinois with a medical specialization in Anesthesiology and more than 8 years of experience. He graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2018. The healthcare provider is registered in the NPI registry with number 1568966711 assigned on March 2018. The practitioner's primary taxonomy code is 207L00000X with license number 036.159237 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1568966711
Provider Name
TYLER MARCUS JENNINGS DO
Gender
Male
Entity Type
Individual
Location Address
4500 MEMORIAL DR BELLEVILLE, IL 62226
Location Phone
(618) 257-4376
Mailing Address
4500 MEMORIAL DR BELLEVILLE, IL 62226
Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
03-22-2018
Last Update Date
07-06-2022
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An anesthesiologist like Tyler Jennings manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

Secondary Locations

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

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
036.159237
License State
IL
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

(MO)

Medicare Participation & PECOS Enrollment Status

Tyler Jennings is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Tyler Jennings is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7113273350

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230121000055

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Tyler Jennings is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST LUKE'S DES PERES HOSPITAL2345 DOUGHERTY FERRY ROAD
SAINT LOUIS, MO 63122
(314) 966-9100Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568966711
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281861272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 8 + 6 + 1 + 2 + 7 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1568966711 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689651184PREMIER INTERNAL MEDICINE LLC
Organization
Internal Medicine4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 476-9399
1780638932 BRIAN L MCELANEY MD
Individual
Radiology (Diagnostic Radiology)4500 MEMORIAL DR DEPT RADIOLOGY
BELLEVILLE, IL 62226
(618) 257-9567
1033153929DR. PAUL D SANDER MD
Individual
Anesthesiology4500 MEMORIAL DR ANESTHESIA DEPT
BELLEVILLE, IL 62226
(618) 257-4076
1093750812MRS. KRISTIN RENEE MABERRY CRNA
Individual
Nurse Anesthetist, Certified Registered4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-4076
1235174764ADVANCED DIAGNOSTIC IMAGING LTD
Organization
Radiology (Diagnostic Radiology)4500 MEMORIAL DR DEPT OF RADIOLOGY
BELLEVILLE, IL 62226
(618) 257-9567
1720011554 JAMES ALAN RENDER CRNA
Individual
Nurse Anesthetist, Certified Registered4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 233-7750
1689691289 PRISCILLA STITH P.A.-C, MS
Individual
Physician Assistant4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-4088
1285793026 CATHERINE ANN MITCHELL PT
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5053
1265594709MRS. BETH CHRISTINE YAGGE M.P.T.
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5250
1558410431MRS. KELLY SMITH MCCLINTON PT
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5265
1437203460MRS. BARBARA JEAN TUNCIL P.T.
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5296
1679613806MS. JOYCE ANN GOSCINSKI PT
Individual
Physical Therapist4500 MEMORIAL DR MEMORIAL HOSPITAL
BELLEVILLE, IL 62226
(618) 257-5257
1265574289MRS. CAROL ANN SAUERWEIN PHYSICAL THERAPIST
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5297
1285776203 PATRICIA A. BIASBAS PT
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5250
1720121064MRS. MARIA ANNE ROSS PT
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5259
1275677668 KIMBERLY MARIE HUELSMANN OT
Individual
Occupational Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5238
1366574352 CYNTHIA LOUISE GLAENZER PT CHT
Individual
Physical Therapist4500 MEMORIAL DR MEDICAL BUILDING 1 SUITE 470
BELLEVILLE, IL 62226
(618) 257-5249
1457471583 MICHELLE LYNN WESSEL P.T.
Individual
Specialist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5266
1548473853 BRIAN TIMOTHY MCANULTY CRNA
Individual
Nurse Anesthetist, Certified Registered4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 233-7750
1932315900MRS. LAUREN E BEACH MPT
Individual
Physical Therapist4500 MEMORIAL DR
BELLEVILLE, IL 62226
(618) 257-5267

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568966711, enumerated in the NPI registry as an "individual" on March 22, 2018

The provider is located at 4500 Memorial Dr Belleville, Il 62226 and the phone number is (618) 257-4376

The provider's speciality is Anesthesiology with taxonomy code 207L00000X

The provider has more than 8 years of experience. He graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2018.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): ST LUKE'S DES PERES HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 22, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.