NPIMap

Individual provider Active NPI

Michael Ryan Reidy, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Saint Louis, MO
National Provider Identifier
1447575964
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2018005681 Issued in MO
Practice address
10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Phone
(314) 880-6676
Fax
(314) 525-4365
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2018005681 MO Primary

Addresses

Primary practice location

10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197

Mailing address

10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Phone (314) 880-6676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180712002482 MO Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 8527314038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Southern Illinois University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Cardiovascular and Thoracic Surgery LLCGroup PAC ID 6204832199, shared by 2 NPIs, 23 clinicians
Cardiothoracic Surgery, LLCGroup PAC ID 1254365281, 14 clinicians

Practice addresses (Care Compare)

10012 Kennerly Rd
Suite 101
Saint Louis, MO 63128-2197
Phone (314) 880-6676

222 S Woods Mill Rd
Suite 550N
Chesterfield, MO 63017-3641
Phone (314) 434-3049

Hospital & facility affiliations

  • St Luke'S Home Health Services Home health agency, Chesterfield, MO, CCN 267561
  • Phelps Health Home Health and Hospice Home health agency, Rolla, MO, CCN 267555
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Phelps County Regional Medical Center Hospital, Rolla, MO, CCN 260017

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)43
Pacemaker insertion or repair12
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic Surgery, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jul 23, 2018 Accepting new patients
St. Lukes Episcopal-Presbyterian Hospital Past Accepting new patients

Locations

226 S Woods Mill Rd
Ste 550
Chesterfield, MO 63017

222 S Woods Mill Rd
Ste 550N
Chesterfield, MO 63017
Phone (314) 434-3049

222 S Woods Mill Rd
Ste 550
Chesterfield, MO 63017
Phone (314) 434-3049

2355 Dougherty Ferry Rd
Ste 310
Saint Louis, MO 63122
Phone (314) 434-3049

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 7

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1447575964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-880-6676",
            "fax_number": "314-525-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-880-6676",
            "fax_number": "314-525-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2018005681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.