NPIMap

Individual provider Active NPI

Timothy Joseph Vreeland, M.D.

  • Surgical Oncology Physician
  • Saint Louis, MO
National Provider Identifier
1497982771
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
2016015484 Issued in MO
Practice address
10050 Kennerly Rd Ste 1500
Saint Louis, MO 63128-2106
Phone
(314) 525-1545
NPI assigned
Jun 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Oncology Physician 2086X0206X 2016015484 MO Primary

Addresses

Primary practice location

10050 Kennerly Rd Ste 1500
Saint Louis, MO 63128-2106

Mailing address

10050 Kennerly Rd Ste 1500
Saint Louis, MO 63128-2106
Phone (314) 525-1545

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tvreeland393851@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160601001129 NC Practitioner - General Surgery 0648560805 Reassigns benefits to 1 organization
I20220603001295 MO Practitioner - General SurgeryPractitioner - Surgical Oncology 0648560805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
Saint Louis University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic St Louis Cancer and Breast Institute LLCGroup PAC ID 9739240037, 10 clinicians
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Practice addresses (Care Compare)

10050 Kennerly Rd
Suite 1500
Saint Louis, MO 63128-2106
Phone (314) 525-1545

621 S New Ballas Rd
Suite 3005B
Saint Louis, MO 63141-8266
Phone (314) 567-5850

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince May 1, 2016 Accepting new patients
Scotland Memorial Hospital Inc Surgery CurrentSince May 1, 2016 Accepting new patients
Mercy Clinic Surgical Specialists, LLC Surgery CurrentSince Jan 9, 2023 Accepting new patients
Mercy Clinic St. Louis Cancer and Breast Institute, LLC Surgical Oncology CurrentSince Jun 1, 2022 Accepting new patients
Mercy Clinic Burn and Plastic Surgery, LLC PastSince Jun 1, 2022 Accepting new patients
Mercy Clinic East Communities Past Accepting new patients
Mercy Clinic GYN Oncology, LLC PastSince Sep 9, 2021 Accepting new patients

Locations

15945 Clayton Rd
Ste 120
Ballwin, MO 63011
Phone (636) 256-5000

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

10050 Kennerly Rd
Ste 1500
Saint Louis, MO 63128
Phone (314) 525-1545

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

205 Lauchwood Dr
Laurinburg, NC 28352
Phone (910) 276-4410

Interoperability endpoints

  • Direct secure messaging: tvreeland393851@direct.novanthealth.org

Organizations & group practices 7

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 6

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1497982771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 KENNERLY RD STE 1500",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 KENNERLY RD STE 1500",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VREELAND",
        "first_name": "TIMOTHY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2022-06-01",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "MO",
            "license": "2016015484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tvreeland393851@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3851 Roger Brooke Dr",
            "address_2": "MHCE-QD (Creds)",
            "city": "Fort Sam Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782344501",
            "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.