Individual provider Active NPI

Richard S Tao, MD

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1083609994
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2000158343 Issued in MO
Practice address
400 S Kingshighway Blvd
Dept Emergency Med
Saint Louis, MO 63110-1014
Phone
(314) 362-9123
Fax
(314) 747-3338
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 2000158343 MO
Emergency Medicine Physician 207P00000X 2000158343 MO Primary

Addresses

Primary practice location

400 S Kingshighway Blvd
Dept Emergency Med
Saint Louis, MO 63110-1014

Mailing address

PO Box 60352
Saint Louis, MO 63160-0352
Phone (314) 362-9123

Other identifiers 1

IdentifierTypeStateIssuer
204988810MedicaidMO

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
I20050509000819 MO Practitioner - Emergency MedicinePractitioner - General PracticePractitioner - Internal Medicine 4284674219 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000158343MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Pike Emergency Medicine LLC Emergency Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Emergency Physicians of St. Luke's, LLC Emergency Medicine Past Accepting new patients
North County Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Thomas H. Boyd Memorial Hospital Past Accepting new patients
Thomas H. Boyd Memorial Hospital Past Accepting new patients
Schuyler County Hospital District Past Accepting new patients
BC Progress Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

7245 Raider Rd
Bonne Terre, MO 63628
Phone (573) 358-1400

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

1225 Graham Rd
Florissant, MO 63031
Phone (314) 653-5630

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

2 Progress Point Pkwy
O Fallon, MO 63368
Phone (636) 344-1000

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Interoperability endpoints

  • Direct secure messaging: rtao@yourcarecommunity.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1083609994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60352",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631600352",
            "telephone_number": "314-362-9123",
            "fax_number": "314-747-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S KINGSHIGHWAY BLVD",
            "address_2": "DEPT EMERGENCY MED",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101014",
            "telephone_number": "314-362-9123",
            "fax_number": "314-747-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAO",
        "first_name": "RICHARD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "2000158343",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2000158343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204988810",
            "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": "400 S Kingshighway Blvd",
            "address_2": "Dept Emergency Med",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101014",
            "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.