DR. JOSEPH EDWARD IPPOLITO (MD) – Diagnostic Radiology Physician, NPI 1114124054

DR. JOSEPH EDWARD IPPOLITO (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 2012011144 (MO). The NPI Number for DR. JOSEPH EDWARD IPPOLITO (MD) is 1114124054

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSEPH EDWARD IPPOLITO (MD)
NPI
1114124054
Phone
(314) 362-7200
Address
660 S EUCLID AVE
Enumeration Date
2 July 2007
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3142862500
Graduation Year
2007 (19 years ago)
PAC ID
8123283967
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20120629000302
Address ID
MO631290002SA5225XPLZX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:18State licenses:1Other namesUpdated within 12 months

1,218 DIAGNOSTIC RADIOLOGY in MO

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Provider Addresses for DR. JOSEPH EDWARD IPPOLITO (MD)

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8131

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Mailing

  • South Kingshighway Boulevard, North Hampton, City of Saint Louis, Missouri, 63116, United States

    DEPT RADIOLOGY

    SAINT LOUIS, MO 631101016

    Phone: (314) 362-7200

    Fax: (314) 747-4189

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $210.

Total Amount is formed as General ($210) + Research ($0) + Ownership ($0) = $210.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Innovation Technologies Inc ($210).

Total Amount

$210

General + Research + Ownership

Payments

1

Total payment records

General Amount

$210

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120629000302IDiagnostic RadiologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
74177Ct scan of abdomen and pelvis with contrast192187$0
74183Mri scan of abdomen before and after contrast180174$0
71260Ct scan of chest with contrast174170$0
74018X-ray of abdomen, 1 view143126$0
72197Mri scan of pelvis before and after contrast116114$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830008770View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. JOSEPH EDWARD IPPOLITO (MD) across health systems?
The NPI 1114124054 uniquely identifies DR. JOSEPH EDWARD IPPOLITO (MD) in U.S. healthcare data.
Does the public listing show DR. JOSEPH EDWARD IPPOLITO (MD) as active?
DR. JOSEPH EDWARD IPPOLITO (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. JOSEPH EDWARD IPPOLITO (MD)'s specialty?
The extract shows Diagnostic Radiology Physician for DR. JOSEPH EDWARD IPPOLITO (MD). Clinical services aligned with this taxonomy classification.
Is DR. JOSEPH EDWARD IPPOLITO (MD) tied to Saint Louis, Missouri?
If you are local to Saint Louis, Missouri, DR. JOSEPH EDWARD IPPOLITO (MD) may be relevant to your search.
Why is information missing for DR. JOSEPH EDWARD IPPOLITO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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