Individual provider Active NPI

Timothy G Lang, MD

  • Orthopaedic Surgery Physician
  • Chesterfield, MO
National Provider Identifier
1285627489
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
200017290 Issued in MO
Practice address
224 S Woods Mill Rd Ste 330S
Chesterfield, MO 63017-3497
Phone
(314) 576-7013
Fax
(314) 576-4047
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 200017290 MO Primary

Addresses

Primary practice location

224 S Woods Mill Rd Ste 330S
Chesterfield, MO 63017-3497

Mailing address

224 S Woods Mill Rd
Ste 330
Chesterfield, MO 63017-3451
Phone (314) 576-7013

Other identifiers 2

IdentifierTypeStateIssuer
10852601OtherCAQH
144067OtherBLUE CROSS BLUE SHIELD

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
I20100903000669 MO Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 7113041633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Orthopedics Woods Mill LLCGroup PAC ID 4284872144, 13 clinicians

Practice addresses (Care Compare)

224 S Woods Mill Rd
Chesterfield, MO 63017-3513
Phone (314) 576-7013

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200017290MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lukes Orthopedics Woods Mill, LLC Orthopaedic Surgery CurrentSince Nov 1, 2024 Accepting new patients
St. Lukes Medical Group Orthopaedic Surgery PastSince Nov 1, 2024 Accepting new patients

Locations

224 S Woods Mill Rd
Ste 330S
Chesterfield, MO 63017
Phone (314) 576-7013

111 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 798-7100

121 Saint Lukes Center Dr
Ste 403A
Chesterfield, MO 63017
Phone (314) 573-7013

Organizations & group practices 2

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 1

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1285627489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "STE 330",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-576-7013",
            "fax_number": "314-576-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD STE 330S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173497",
            "telephone_number": "314-576-7013",
            "fax_number": "314-576-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "TIMOTHY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "200017290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10852601",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "144067",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.