Individual provider Active NPI

Adam Winston Taves, MD

  • Diagnostic Radiology Physician
  • St. Charles, MO
National Provider Identifier
1003038746
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036127740 Issued in IL
Practice address
300 First Capitol Drive
St. Charles, MO 63301
Phone
(636) 947-5444
Fax
(636) 947-5259
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2012021368 MO
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 036127740 IL Primary

Addresses

Primary practice location

300 First Capitol Drive
St. Charles, MO 63301

Mailing address

220 Compass Point Drive
St Charles, MO 63301
Phone (636) 947-4480

Other practice location 1

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-0690

Other practice location 2

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0690

Other identifiers 2

IdentifierTypeStateIssuer
036027740MedicaidIL
209067503MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tavesa@clinicalradiologist.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120621000700 IL Practitioner - Diagnostic Radiology 9032374129
I20121109000186 MO Practitioner - Diagnostic Radiology 9032374129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologic Imaging Consultants LLPGroup PAC ID 4587652748, 16 clinicians
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Phone (636) 625-5303

300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000

Hospital & facility affiliations

  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200
  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • Mercy Hospital Lincoln Hospital, Troy, MO, CCN 261319

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. CurrentSince Oct 6, 2025 Accepting new patients
SSM Medical Group Inc. CurrentSince Oct 6, 2025 Accepting new patients
Crawford Hospital District Current Accepting new patients
Radiologic Imaging Consultants, LLP Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Elite Chiropractic Center LLC Past Accepting new patients
Metro Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1025 S 6th St
Springfield, IL 62703

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

220 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 947-4480

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

Interoperability endpoints

  • Direct secure messaging: adamtaves@sfc.allscriptsdirect.net
  • Direct secure messaging: atave@yourcarecommunity.org
  • FHIR API: https://apif1.aetna.com/fhir/v2/patientaccess/
  • Direct secure messaging: ataves421206@direct-ehr-ssmhc.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1003038746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 COMPASS POINT DRIVE",
            "city": "ST CHARLES",
            "state": "MO",
            "postal_code": "63301",
            "telephone_number": "636-947-4480",
            "fax_number": "636-947-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FIRST CAPITOL DRIVE",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "63301",
            "telephone_number": "636-947-5444",
            "fax_number": "636-947-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Lees Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641391236",
            "country_code": "US",
            "telephone_number": "816-404-0690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVES",
        "first_name": "ADAM",
        "middle_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-10-03",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2012021368",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036127740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036027740",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209067503",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tavesa@clinicalradiologist.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3050 Montvale Dr Ste A",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627046924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St. Charles, MO

Sources for this page

Verify at the official NPI Registry.