Individual provider Active NPI

Richard Brian Sommerville, MD

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1053529164
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2009008677 Issued in MO
Practice address
4921 Parkview PL
Div Neurology Neuromuscular, Ste 6C
Saint Louis, MO 63110-1032
Phone
(314) 362-1408
Fax
(314) 362-3752
NPI assigned
May 21, 2007
Last updated
Nov 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2009008677 MO Primary

Addresses

Primary practice location

4921 Parkview PL
Div Neurology Neuromuscular, Ste 6C
Saint Louis, MO 63110-1032

Mailing address

660 S Euclid Ave
CB 8111
Saint Louis, MO 63110-1010
Phone (314) 362-1408

Other identifiers 1

IdentifierTypeStateIssuer
204249700MedicaidMO

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
I20100817000171 MO Practitioner - Neurology 9931233673 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Columbia University College of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Todd B Silverman MD LLCGroup PAC ID 0941547111, 2 clinicians

Practice addresses (Care Compare)

14825 N Outer 40 Rd
Suite 330 B
Chesterfield, MO 63017-2119
Phone (636) 537-0525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009008677MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 1, 2010 Accepting new patients
Todd B. Silverman MD, LLC Neurology CurrentSince Mar 13, 2024 Accepting new patients
Washington University CurrentSince Jul 1, 2010 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Saint Louis Connectcare Past Accepting new patients
Ozarks Medical Center Neurology Past Accepting new patients

Locations

14825 North Outer 40 Rd
Ste 330
Chesterfield, MO 63017
Phone (636) 537-0525

14825 North Outer 40 Rd
Ste 330B
Chesterfield, MO 63017
Phone (636) 537-0525

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

4921 Parkview Pl
Ste 6C
Saint Louis, MO 63110
Phone (314) 362-6981

660 S Euclid Ave
Saint Louis, MO 63110

660 S Euclid Ave
#8111
Saint Louis, MO 63110
Phone (314) 362-3281

660 S Euclid Ave
#C
Saint Louis, MO 63110

Organizations & group practices 6

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 1

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1053529164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8111",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-1408",
            "fax_number": "314-362-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "DIV NEUROLOGY NEUROMUSCULAR, STE 6C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-362-1408",
            "fax_number": "314-362-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERVILLE",
        "first_name": "RICHARD",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2009008677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204249700",
            "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": "4921 Parkview Pl",
            "address_2": "Div Neurology Neuromuscular, Ste 6C",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101032",
            "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.