Active NPI
David M Schuval, MD
- Colon & Rectal Surgery Physician
- Saint Louis, MO
National Provider Identifier
1114993706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- MD101311
- 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, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203475306 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD101311 | MO | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorectal Specialists, PC | Colon & Rectal Surgery | Past | 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.
-
- Colon & Rectal Surgery Physician
- Saint Louis, MO
- NPI 1851496574
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.