Individual provider Active NPI

Scott Andrew Wilson-Flewelling, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1235623612
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2020012731 Issued in MO
Practice address
510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016
Phone
(314) 362-2928
Fax
(314) 747-4189
NPI assigned
Jun 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2020012731 MO Primary

Addresses

Primary practice location

510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-2928

Other identifiers 1

IdentifierTypeStateIssuer
200124731MedicaidMO

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, FL, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230628002310 MO Practitioner - Diagnostic Radiology 5496187619 Reassigns benefits to 2 organizations
I20250521001892 FL Practitioner - Diagnostic Radiology 5496187619 Reassigns benefits to 3 organizations
I20251028001884 CA Practitioner - Diagnostic Radiology 5496187619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lambert Radiology Medical Group IncGroup PAC ID 8224032271, 68 clinicians
IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

Boca Raton, FL 33496
Phone (888) 927-8024

225 1St Ave N
Unit 3200
St Petersburg, FL 33701-3759
Phone (858) 658-6500

27401 Los Altos
Suite 150
Mission Viejo, CA 92691-8013
Phone (949) 367-1010

334 2ND Ave S
Apt 901
St Petersburg, FL 33701-4751
Phone (314) 362-7200

510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Phone 31436272001

Hospital & facility affiliations

  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191
  • Progress West Hospital Hospital, Ofallon, MO, CCN 260219
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020012731MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crown Valley Radiologists Inc a Professional Medical Corp Diagnostic Radiology CurrentSince Aug 15, 2025 Accepting new patients
IHS Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Pih Health Physicians Internal Medicine CurrentSince Aug 30, 2025 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Miracl, LLC CurrentSince Jul 1, 2023 Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 2, 2025 Accepting new patients
Crown Valley Radiologist Past Accepting new patients
Physicians Radiology Medical Group, Inc. Diagnostic Radiology Past Accepting new patients

Locations

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

27401 Los Altos
Ste 150
Mission Viejo, CA 92691
Phone (949) 209-9008

27401 Los Altos
Ste 180
Mission Viejo, CA 92691
Phone (949) 582-9624

4501 Birch St
Ste C
Newport Beach, CA 92660
Phone (310) 208-3100

4501 Birch St
Unit C
Newport Beach, CA 92660
Phone (949) 367-1010

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

1801 W Olympic Blvd
#1313
Pasadena, CA 91199

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

660 S Euclid Ave
#8131
Saint Louis, MO 63110
Phone (314) 362-2809

660 S Euclid Ave
Saint Louis, MO 63110

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

Organizations & group practices 8

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 6

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1235623612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-2928",
            "fax_number": "314-747-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S KINGSHIGHWAY BLVD",
            "address_2": "DEPT RADIOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101016",
            "telephone_number": "314-362-2928",
            "fax_number": "314-747-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-FLEWELLING",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-19",
        "last_updated": "2025-04-17",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2020012731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124731",
            "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": "510 S Kingshighway Blvd",
            "address_2": "Dept Radiology",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101016",
            "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.