Individual provider Active NPI

Michael Allen Twyman, MD

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1053395533
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2012009166 Issued in MO
Practice address
1034 S Brentwood Blvd Ste 1230
Saint Louis, MO 63117-1221
Phone
(314) 635-9028
Fax
(314) 293-6738
NPI assigned
Nov 30, 2005
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2012009166 MO Primary

Addresses

Primary practice location

1034 S Brentwood Blvd Ste 1230
Saint Louis, MO 63117-1221

Mailing address

1034 S Brentwood Blvd Ste 1230
Saint Louis, MO 63117-1221
Phone (314) 635-9028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 12, 2019 through Aug 12, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012009166MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Cardiology, LLC Cardiovascular Disease CurrentSince Jul 28, 2019 Accepting new patients

Locations

7733 Forsyth Blvd
Fl 11
Saint Louis, MO 63105
Phone (314) 296-6199

1034 S Brentwood Blvd
Ste 1230
Saint Louis, MO 63117
Phone (314) 635-9028

Interoperability endpoints

  • Direct secure messaging: mtwyman@yourcarecommunity.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1053395533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 1230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171221",
            "telephone_number": "314-635-9028",
            "fax_number": "314-293-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 1230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171221",
            "telephone_number": "314-635-9028",
            "fax_number": "314-293-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWYMAN",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2012009166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.