Individual provider Active NPI

Steven Richard Whealon, M.D.

  • Family Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1295099653
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018030704 Issued in MO
Practice address
16216 Baxter Rd
Chesterfield, MO 63017-4770
Phone
(573) 339-3591
NPI assigned
Jun 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018030704 MO Primary

Addresses

Primary practice location

16216 Baxter Rd
Chesterfield, MO 63017-4770

Mailing address

5669 Dalton LN
Smithton, IL 62285-2946
Phone (253) 293-0044

Other identifiers 1

IdentifierTypeStateIssuer
036136850MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150616001518 IL Practitioner - Family Practice 2567773658 Reassigns benefits to 1 organization
Practice locations: Smithton, IL; Staunton, IL
I20241125000399 MO Practitioner - Family Practice 2567773658 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.136850ILMDFamily Medicine Physician
036136850ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Nov 18, 2024 Accepting new patients
Total Access Urgent Care, PC Family Medicine CurrentSince Nov 18, 2024 Accepting new patients
Tauc Il, PC CurrentSince Dec 3, 2024 Accepting new patients

Locations

1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

216 Centerview Dr
Ste 100
Brentwood, TN 37027

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1295099653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 DALTON LN",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "622852946",
            "telephone_number": "253-293-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174770",
            "telephone_number": "573-339-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEALON",
        "first_name": "STEVEN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018030704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036136850",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.