Active NPI
Thomas Schelby, MD
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019022728
- Practice address
- 4650 Chippewa St
Saint Louis, MO 63116-1611 - Phone
- (314) 449-9730
- NPI assigned
- Mar 7, 2017
- Last updated
- Jun 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 125.070587 | IL | |
| Family Medicine Physician | 207Q00000X | 2019022728 | MO | Primary |
Addresses
Primary practice location
4650 Chippewa St
Saint Louis, MO 63116-1611
Mailing address
4650 Chippewa St
Saint Louis, MO 63116-1611
Phone (314) 449-9730
Other practice location 1
180 S 3rd St Ste 300
Belleville, IL 62220-1952
Phone (618) 233-5480
Other practice location 2
310 W Losey St
375 Medical Group
Scott AFB, IL 62225-5250
Phone (618) 256-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4650 Chippewa St
Saint Louis, MO 63116-1611
Phone (314) 449-9730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.070587 | IL | MD | Family Medicine Physician |
| 2019022728 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Professional Services of Kansas, P.a. | Current | Accepting new patients |
Locations
199 N Florissant Rd
Ferguson, MO 63135
Phone (314) 449-9640
4650 Chippewa St
Saint Louis, MO 63116
Phone (314) 449-9730
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Ferguson, MO
- NPI 1083289086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1467992636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 CHIPPEWA ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631161611",
"telephone_number": "314-449-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 CHIPPEWA ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631161611",
"telephone_number": "314-449-9730"
}
],
"practiceLocations": [
{
"address_1": "180 S 3rd St Ste 300",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622201952",
"country_code": "US",
"telephone_number": "618-233-5480",
"fax_number": "618-222-4790",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 W Losey St",
"address_2": "375 Medical Group",
"address_purpose": "LOCATION",
"city": "Scott AFB",
"state": "IL",
"postal_code": "622255250",
"country_code": "US",
"telephone_number": "618-256-9355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHELBY",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-07",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.070587",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2019022728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.