Individual provider Active NPI

Phu Dinh Vu, MD

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1295718294
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2007035011 Issued in MO
Practice address
915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone
(314) 289-6410
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036110018 IL
Family Medicine Physician 207Q00000X 2007035011 MO
Emergency Medicine Physician 207P00000X 2007035011 MO Primary

Addresses

Primary practice location

915 N Grand Blvd
Saint Louis, MO 63106-1621

Mailing address

PO Box 66971
Dept Le
Saint Louis, MO 63166-6971
Phone (800) 968-6866

Other practice location 1

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 735-4755

Other identifiers 4

IdentifierTypeStateIssuer
036110018MedicaidIL
P00350431OtherILRAIL ROAD MEDICARE
08232204OtherILBLUE CROSS BLUE SHIELD
08232205OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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
I20080313000609 MO Practitioner - Emergency Medicine 7315928462 Reassigns benefits to 4 organizations
I20200629002264 AR Practitioner - Emergency Medicine 7315928462 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007035011MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Emergency Physicians of St. Luke's, LLC Emergency Medicine CurrentSince Aug 14, 2021 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jun 29, 2020 Accepting new patients
Physician Specialists of St Lukes LLC Emergency Medicine CurrentSince Jul 28, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 3, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 3, 2020 Accepting new patients
Mercy Aco Clinical Services Inc Emergency Medicine CurrentSince Mar 7, 2020 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jun 29, 2020 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Midwest Emergency Management, Inc. Emergency Medicine Past Accepting new patients
SSM Health Care St. Louis Emergency Medicine Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2708 S Rife Medical Ln
Ste T30
Rogers, AR 72758
Phone (479) 338-3999

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000

Organizations & group practices 12

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1295718294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66971",
            "address_2": "DEPT LE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631666971",
            "telephone_number": "800-968-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631061621",
            "telephone_number": "314-289-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15740 S Outer 40 Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630172004",
            "country_code": "US",
            "telephone_number": "636-735-4755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "PHU",
        "middle_name": "DINH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036110018",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2007035011",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2007035011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110018",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00350431",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232204",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232205",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.