Individual provider Active NPI

David M Schuval, MD

  • Colon & Rectal Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1114993706
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD101311 Issued in MO
Practice address
12345 West Bend Dr.
Suite 303
St. Louis, MO 63128
Phone
(314) 849-1811
Fax
(314) 849-7470
NPI assigned
Feb 24, 2006
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 101311 MO
Colon & Rectal Surgery Physician 208C00000X MD101311 MO Primary

Addresses

Primary practice location

12345 West Bend Dr.
Suite 303
St. Louis, MO 63128

Mailing address

12345 West Bend Dr.
Suite 303
St. Louis, MO 63128
Phone (314) 849-1811

Other identifiers 1

IdentifierTypeStateIssuer
203475306MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address davidschuval@crsshsi.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD101311MOMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colorectal Specialists, PC Colon & Rectal Surgery PastSince Aug 1, 2006 Accepting new patients

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1114993706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 WEST BEND DR.",
            "address_2": "SUITE 303",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-849-1811",
            "fax_number": "314-849-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 WEST BEND DR.",
            "address_2": "SUITE 303",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-849-1811",
            "fax_number": "314-849-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUVAL",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "101311",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MO",
            "license": "MD101311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203475306",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidschuval@crsshsi.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "12345 West Bend Dr.",
            "address_2": "Suite 303",
            "city": "St. Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.