Individual provider Active NPI

David Robert Wright, PA

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1306318803
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2019003355 Issued in MO
Practice address
1 Childrens PL
Div Ped Emergency Med
Saint Louis, MO 63110-1002
Phone
(314) 454-2341
Fax
(314) 454-4345
NPI assigned
Dec 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2019003355 MO Primary

Addresses

Primary practice location

1 Childrens PL
Div Ped Emergency Med
Saint Louis, MO 63110-1002

Mailing address

PO Box 60352
Saint Louis, MO 63160-0352
Phone (314) 454-2341

Other identifiers 1

IdentifierTypeStateIssuer
220066746MedicaidMO

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, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190422000727 MO Practitioner - Physician Assistant 9830431972 Reassigns benefits to 3 organizations
I20240917003744 IL Practitioner - Physician Assistant 9830431972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians
Tauc Il PCGroup PAC ID 3173060282, 17 clinicians

Practice addresses (Care Compare)

1001 Southern Ridge LN
Lake Saint Louis, MO 63367-4000
Phone (314) 961-2255

1005 S Big Bend Blvd
Saint Louis, MO 63117-1605
Phone (314) 961-2255

1090 N Hwy 67 St
Florissant, MO 63031-4720
Phone (314) 961-2255

10923 Olive Blvd
Creve Coeur, MO 63141-7740
Phone (314) 961-2255

1103 Central Park Dr
O Fallon, IL 62269-1770
Phone (618) 215-5703

12409 Saint Charles Rock Rd
Bridgeton, MO 63044-2507
Phone (314) 961-2255

12616 Lamplighter Square Shopping
Saint Louis, MO 63128-2746
Phone (314) 961-2255

13426 Olive Blvd
Chesterfield, MO 63017-3111
Phone (314) 961-2255

13861 Manchester Rd
Ballwin, MO 63011-4503
Phone (314) 961-2255

2138 1St Capitol Dr
Saint Charles, MO 63301-5804
Phone (314) 961-2255

2501 Clarkson Rd
Chesterfield, MO 63017-7398
Phone (314) 961-2255

3114 S Grand Blvd
Saint Louis, MO 63118-1012
Phone (314) 961-2255

3909 Mexico Rd
Saint Peters, MO 63376-6408
Phone (314) 961-2255

400 Beltline Rd
Collinsville, IL 62234-4405
Phone (618) 215-5703

4201 Hwy K
O Fallon, MO 63368-8230
Phone (314) 961-2255

4400 Telegraph Rd
Saint Louis, MO 63129-3316
Phone (314) 961-2255

507 S Main St
O Fallon, MO 63366-2534
Phone (314) 961-2255

600 Mid Rivers Mall Dr
Saint Peters, MO 63376-2460
Phone (314) 961-2255

7816 Big Bend Blvd
Webster Groves, MO 63119-2702
Phone (314) 961-2255

8213 Delmar Blvd
Saint Louis, MO 63124-2104
Phone (314) 961-2255

8961 Page Ave
Overland, MO 63114-6104
Phone (314) 961-2255

9538 Gravois Rd
Affton, MO 63123-4558
Phone (314) 961-2255

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Emergency Medical Technician - Paramedic, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Feb 17, 2019 Accepting new patients
Total Access Urgent Care, PC CurrentSince Aug 14, 2024 Accepting new patients
Cep America LLC CurrentSince Sep 1, 2024 Accepting new patients
Washington University CurrentSince Feb 17, 2019 Accepting new patients
Total Access Urgent Care, PC CurrentSince Aug 14, 2024 Accepting new patients
Cep America LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

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

400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703

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

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

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

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

1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076

1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104

1 Childrens Pl
#1230
Saint Louis, MO 63110

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

13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333

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.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1306318803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60352",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631600352",
            "telephone_number": "314-454-2341",
            "fax_number": "314-454-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PL",
            "address_2": "DIV PED EMERGENCY MED",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101002",
            "telephone_number": "314-454-2341",
            "fax_number": "314-454-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2019003355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220066746",
            "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": "1 Childrens Pl",
            "address_2": "Div Ped Emergency Med",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101002",
            "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.