DR. JONATHAN W HEUSEL (MD) – Molecular Genetic Pathology (Pathology) Physician, NPI 1255329058

DR. JONATHAN W HEUSEL (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 108616 (MO). The NPI Number for DR. JONATHAN W HEUSEL (MD) is 1255329058

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN W HEUSEL (MD)
NPI
1255329058
Phone
(314) 362-5641
Address
425 S EUCLID AVE
Enumeration Date
6 October 2005
Last Update Date
15 November 2021

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6314442222
Graduation Year
1995 (31 years ago)
PAC ID
9032184155
Group Practice PAC ID
2163502162
Professional Enrollment ID
I20231106000633
Address ID
NY117903407ST100XXRDXX300

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
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

406 PATHOLOGY in MO

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Provider Addresses for DR. JONATHAN W HEUSEL (MD)

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

    SAINT LOUIS, MO 631101005

    Phone: (314) 362-5641

    Fax: (314) 362-0369

    Type: Location

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

    CB 8118

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-5641

    Fax: (314) 362-0369

    Type: Mailing

  • 4320 FOREST PARK AVE

    STE 209

    SAINT LOUIS, MO 631082979

    Phone: (314) 362-5641

    Fax: (314) 362-0369

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-11-06

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
I20231106000633IPathologyNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 2163502162View full group profile
NameSpecialtyState
P A T H O L O G YNY
P A T H O L O G YNY
P A T H O L O G YNY
-NY
P A T H O L O G YMA
-NY
P A T H O L O G YNY
Pathology, HematologyNY
P A T H O L O G YNY
P A T H O L O G YGA

Reviews

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Frequently asked questions

How do payers reference DR. JONATHAN W HEUSEL (MD)?
For DR. JONATHAN W HEUSEL (MD), use NPI 1255329058 as the unique 10-digit identifier.
Is DR. JONATHAN W HEUSEL (MD) shown as active in public data?
Registry records indicate DR. JONATHAN W HEUSEL (MD) maintains an active NPI.
How would a patient describe DR. JONATHAN W HEUSEL (MD)'s focus?
For DR. JONATHAN W HEUSEL (MD), the primary taxonomy reads as Molecular Genetic Pathology (Pathology) Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. JONATHAN W HEUSEL (MD) registered?
Use Saint Louis, Missouri as the headline location for DR. JONATHAN W HEUSEL (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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