Individual provider Active NPI

Riley B Busch, PA-C

  • Physician Assistant
  • O'Fallon, MO
National Provider Identifier
1013775238
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2024006272 Issued in MO
Practice address
1101 Highway K
O Fallon, MO 63366-8431
Phone
(636) 379-6363
NPI assigned
Mar 12, 2024
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2024006272 MO Primary

Addresses

Primary practice location

1101 Highway K
O Fallon, MO 63366-8431

Mailing address

1200 E Broadway
Columbia, MO 65201-4979
Phone (573) 876-7105

Other practice location 1

13861 Manchester Rd
Ballwin, MO 63011-4503
Phone (636) 220-9333

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240327001237 MO Practitioner - Physician Assistant 8224475165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

1035 Bellevue Ave
Suite 500
Saint Louis, MO 63117-1843
Phone (314) 925-4770

1101 Hwy K
O Fallon, MO 63366-8431
Phone (636) 379-6363

12409 Saint Charles Rock Rd
Bridgeton, MO 63044-2507
Phone (314) 961-2255

13426 Olive Blvd
Chesterfield, MO 63017-3111
Phone (314) 961-2255

2138 1St Capitol Dr
Saint Charles, MO 63301-5804
Phone (314) 961-2255

3909 Mexico Rd
Saint Peters, MO 63376-6408
Phone (314) 961-2255

4201 Hwy K
O Fallon, MO 63368-8230
Phone (314) 961-2255

507 S Main St
O Fallon, MO 63366-2534
Phone (314) 961-2255

600 Mid Rivers Mall Dr
Saint Peters, MO 63376-2460
Phone (314) 961-2255

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Total Access Urgent Care, PC CurrentSince Mar 21, 2024 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

1101 Highway K
O Fallon, MO 63366
Phone (636) 379-6347

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

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1013775238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E BROADWAY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014979",
            "telephone_number": "573-876-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633668431",
            "telephone_number": "636-379-6363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13861 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630114503",
            "country_code": "US",
            "telephone_number": "636-220-9333",
            "fax_number": "636-220-9334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSCH",
        "first_name": "RILEY",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2024006272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.