Active NPI
Chad Ryan Fowler, MD
- Family Medicine Physician
- Wentzville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2009012785
- Practice address
- 1032 Crosswinds CT
Wentzville, MO 63385 - Phone
- (844) 853-8937
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2009012785 | MO | Primary |
Addresses
Primary practice location
1032 Crosswinds CT
Wentzville, MO 63385
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other practice location 1
550 Landmarks Blvd
Alton, IL 62002-6321
Phone (618) 463-5905
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1032 Crosswinds CT
Wentzville, MO 63385-4836
Phone (888) 403-1071
12445 Dorsett Rd
Maryland Heights, MO 63043-3907
Phone (314) 251-1820
Hospital & facility affiliations
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009012785 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Health, Inc | Current | Accepting new patients | |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Compass Health, Inc | Current | Accepting new patients | |
| Physician Specialists of St Lukes LLC | Family Medicine | Past | Accepting new patients |
Locations
1800 Community
#B
Clinton, MO 64735
1800 Community
Clinton, MO 64735
Phone (660) 885-8131
12445 Dorsett Rd
Maryland Heights, MO 63043
Phone (314) 251-1820
102 Compass Point Dr
Saint Charles, MO 63301
Phone (636) 332-8318
3785 New Town Blvd
Saint Charles, MO 63301
Phone (636) 669-2332
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
8075 Mexico Rd
Saint Peters, MO 63376
Phone (573) 234-5258
101 Progress Pkwy
Sullivan, MO 63080
Phone (573) 468-3555
91 Troy Sq
Troy, MO 63379
1780 Old Highway 50 E
Ste 111
Union, MO 63084
Phone (636) 584-0305
19515 Brune Pkwy
Warrenton, MO 63383
Phone (636) 235-4049
1032 Crosswinds Ct
Wentzville, MO 63385
Phone (636) 332-6000
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Rolla, MO
- NPI 1558258632
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1073609376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 CROSSWINDS CT",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "63385",
"telephone_number": "844-853-8937"
}
],
"practiceLocations": [
{
"address_1": "550 Landmarks Blvd",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620026321",
"country_code": "US",
"telephone_number": "618-463-5905",
"fax_number": "618-463-5935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOWLER",
"first_name": "CHAD",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2009012785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.