Individual provider Active NPI

Loughlin Sophia Wylie, MD

  • Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1013477199
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2024031173 Issued in MO
Practice address
1 Barnes Jewish Hospital PLZ
Div Surg Accs
Saint Louis, MO 63110-1003
Phone
(314) 362-5298
Fax
(888) 824-2176
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 2024031173 MO
Surgery Physician 208600000X 2024031173 MO Primary

Addresses

Primary practice location

1 Barnes Jewish Hospital PLZ
Div Surg Accs
Saint Louis, MO 63110-1003

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-5298

Other identifiers 1

IdentifierTypeStateIssuer
200146348MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250910003294 MO Practitioner - Vascular SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Anesthesiology 0143558320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Anesthesiology, Critical Care (Intensivists)
Education
Indiana University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, shared by 49 NPIs, 2,968 clinicians

Practice addresses (Care Compare)

1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003

Hospital & facility affiliations

  • Barnes Jewish Hospital Hospital, Saint Louis, MO, CCN 260032
  • Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024031173MOMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Current Accepting new patients
Washington University CurrentSince Oct 1, 2025 Accepting new patients
Washington University CurrentSince Oct 1, 2025 Accepting new patients
Washington University CurrentSince Oct 1, 2025 Accepting new patients
Barnes Jewish Hospital Past Accepting new patients

Locations

1050 W 10th St
Ste 500
Rolla, MO 65401
Phone (573) 308-1301

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700

5201 Mid America Plz
Ste 2300
Saint Louis, MO 63129
Phone (314) 996-8670

1020 N Mason Rd
Ste 225
Saint Louis, MO 63141
Phone (314) 747-4769

11155 Dunn Rd
Ste 108N
Saint Louis, MO 63136
Phone (314) 355-6779

4921 Parkview Pl
Saint Louis, MO 63110
Phone (314) 747-4850

1 Barnes Jewish Hospital Plz
Ste 240
Saint Louis, MO 63110
Phone (314) 362-8574

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

4921 Parkview Pl
Ste 8B
Saint Louis, MO 63110
Phone (314) 454-8917

555 N New Ballas Rd
Ste 265
Saint Louis, MO 63141
Phone (314) 991-4644

1 Barnes Hsp Plz
Saint Louis, MO 63110
Phone (314) 273-4966

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1013477199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-5298",
            "fax_number": "888-824-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "address_2": "DIV SURG ACCS",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101003",
            "telephone_number": "314-362-5298",
            "fax_number": "888-824-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLIE",
        "first_name": "LOUGHLIN",
        "middle_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "MO",
            "license": "2024031173",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2024031173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200146348",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Barnes Jewish Hospital Plz",
            "address_2": "Div Surg ACCS",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.