NPIMap

Organization Active NPI

Tri-County Family Practice, LLC

  • Family Medicine Physician
  • O Fallon, MO
National Provider Identifier
1285720169
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TRI-COUNTY FAMILY PRACTICE, LLC
Practice address
5551 Winghaven Blvd Ste 142
O Fallon, MO 63368-3618
Phone
(636) 695-2510
Fax
(314) 590-5914
NPI assigned
Oct 5, 2006
Organization subpart
Yes
Parent organization
ST. LUKES MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Darren R. Haskell, MD.
Title
Chief Medical Officer
Phone
(314) 205-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5551 Winghaven Blvd Ste 142
O Fallon, MO 63368-3618

Mailing address

232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (636) 685-7804

Other practice location 1

17417 Chesterfield Airport Rd
Chesterfield, MO 63005-1308
Phone (636) 685-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050920000721 MO Part B Supplier - Clinic/Group Practice 5294769238 Receives reassigned benefits from 12 practitioners
Practice locations: Ballwin, MO; Chesterfield, MO; O Fallon, MO

National Provider Directory

National Provider Directory
Part of
St Lukes Medical Group

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5551 Winghaven Blvd
Ste 142
O Fallon, MO 63368
Phone (636) 695-2510

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1285720169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173406",
            "telephone_number": "636-685-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 WINGHAVEN BLVD STE 142",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683618",
            "telephone_number": "636-695-2510",
            "fax_number": "314-590-5914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17417 Chesterfield Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630051308",
            "country_code": "US",
            "telephone_number": "636-685-7724",
            "fax_number": "314-590-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-COUNTY FAMILY PRACTICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKES MEDICAL GROUP",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "314-205-6444",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.