Individual provider Active NPI

Todd Brook Silverman, M.D.

  • Neurology Physician
  • Chesterfield, MO
National Provider Identifier
1114016391
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2001012251 Issued in MO
Practice address
14825 North Outer 40 Rd Ste 330-B
Chesterfield, MO 63017-2119
Phone
(636) 537-0525
Fax
(636) 537-0575
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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 2001012251 MO Primary

Addresses

Primary practice location

14825 North Outer 40 Rd Ste 330-B
Chesterfield, MO 63017-2119

Mailing address

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

Other practice location 1

232 S Woods Mill Rd
Suite 400 East
Chesterfield, MO 63017-3417
Phone (314) 878-2888

Other identifiers 1

IdentifierTypeStateIssuer
1114016391MedicaidMO

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
I20080123000647 MO Practitioner - Neurology 8426130972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Northwestern University Feinberg Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Todd B Silverman MD LLCGroup PAC ID 0941547111, 2 clinicians
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

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

7212 Balson Ave
Saint Louis, MO 63130-3001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001012251MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd B. Silverman MD, LLC Neurology CurrentSince Feb 6, 2019 Accepting new patients
Todd B. Silverman, M.D., PC Neurology PastSince Jan 1, 2008 Accepting new patients

Locations

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1114016391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 NORTH OUTER 40 RD STE 330-B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172119",
            "telephone_number": "636-537-0525",
            "fax_number": "636-537-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 NORTH OUTER 40 RD STE 330-B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172119",
            "telephone_number": "636-537-0525",
            "fax_number": "636-537-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 S Woods Mill Rd",
            "address_2": "Suite 400 East",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173417",
            "country_code": "US",
            "telephone_number": "314-878-2888",
            "fax_number": "314-576-8167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "TODD",
        "middle_name": "BROOK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2001012251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114016391",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.