Michael T Railey, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R9336 Issued in MO

Practice address

6125 Clayton Ave
Ste 222
Saint Louis, MO 63139-3265

Phone

(314) 768-3685

Fax

(314) 768-3940

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• County of St Louis Division of Fiscal Management

  • Federally Qualified Health Center (FQHC)
  • Berkeley, MO
  • NPI 1184519506
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1023061926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 CLAYTON AVE",
            "address_2": "STE 222",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393265",
            "telephone_number": "314-768-3204",
            "fax_number": "314-768-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 CLAYTON AVE",
            "address_2": "STE 222",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393265",
            "telephone_number": "314-768-3685",
            "fax_number": "314-768-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAILEY",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201072873",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dianne Raic, MSN, RN, CPNP
• Tanavi Mayur Raicar, OTR/L
• Brandy L Raich, ANP
• Isabelle Raiche, MD
• Marcus E Raichle, MD
• Rebecca Baum Rainbolt
• Rainbow Lantern Psychological Services
• Monica Anne Raine, PTA
• Rainer Dialysis LLC
• Matthew Frederick Raines, M.D.

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.