Individual provider Active NPI

Graham Tyler Foster, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1134416720
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018012741 Issued in MO
Practice address
9338 Olive Blvd Ste 100B
Saint Louis, MO 63132-3248
Phone
(314) 993-7121
NPI assigned
Jul 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018012741 MO Primary
Family Medicine Physician 207Q00000X 125069720 IL

Addresses

Primary practice location

9338 Olive Blvd Ste 100B
Saint Louis, MO 63132-3248

Mailing address

9338 Olive Blvd Ste 100B
Saint Louis, MO 63132-3248
Phone (314) 993-7121

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
I20190102000597 MO Practitioner - Family Practice 5496039117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westglen Family Physicians LLCGroup PAC ID 3678506102, 8 clinicians

Practice addresses (Care Compare)

225 Clarkson Rd
Ellisville, MO 63011-2278
Phone (636) 685-7715

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125069720ILMDFamily Medicine Physician
2018012741MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Physicians LLC Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Westglen Family Physicians, LLC Family Medicine CurrentSince Jan 13, 2025 Accepting new patients
Mercy Clinic East Communities Family Medicine CurrentSince Nov 30, 2018 Accepting new patients
St. Lukes Medical Group Family Medicine Past Accepting new patients

Locations

225 Clarkson Rd
Ellisville, MO 63011
Phone (636) 230-5050

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

2325 Dougherty Ferry Rd
Ste 104
Saint Louis, MO 63122
Phone (314) 821-6889

9338 Olive Blvd
Ste 100B
Saint Louis, MO 63132
Phone (314) 993-2400

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

2315 Dougherty Ferry Rd
Ste 109A
Saint Louis, MO 63122
Phone (314) 729-1725

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1134416720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9338 OLIVE BLVD STE 100B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323248",
            "telephone_number": "314-993-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9338 OLIVE BLVD STE 100B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631323248",
            "telephone_number": "314-993-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "GRAHAM",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018012741",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125069720",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.