Individual provider Active NPI

Dustin Ricky Smith, MD

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1558591198
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2012013494 Issued in MO
Practice address
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone
(314) 525-1900
NPI assigned
Jul 16, 2009
Last updated
Apr 21, 2026By the provider in NPPES
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2012013494 MO Primary
Family Medicine Physician 207Q00000X 2012013494 MO

Addresses

Primary practice location

10010 Kennerly Rd
Saint Louis, MO 63128-2106

Mailing address

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000710 MO Practitioner - Emergency Medicine 0042466765 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Columbia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Aco Clinical Services IncGroup PAC ID 6901188572, 159 clinicians
Southeastern Emergency Physicians of Memphis LLCGroup PAC ID 5395643209, 92 clinicians
Camden Emergency Group LLCGroup PAC ID 2961665369, 31 clinicians

Practice addresses (Care Compare)

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 237-4200

2305 Georgia St
Louisiana, MO 63353-2559
Phone (573) 754-5531

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone (573) 348-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Camden Emergency Group LLC Emergency Medicine CurrentSince Jan 25, 2026 Accepting new patients
Mercy Hospital South CurrentSince Oct 21, 2019 Accepting new patients
Mercy Hospital Perry Emergency Medicine CurrentSince Dec 19, 2023 Accepting new patients
Mercy Aco Clinical Services Inc Emergency Medicine CurrentSince Jan 11, 2021 Accepting new patients
Mercy Hospitals East Communities Family Medicine CurrentSince Oct 21, 2019 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Oct 21, 2019 Accepting new patients
Mercy Hospital Jefferson CurrentSince Oct 21, 2019 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Oct 21, 2019 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Oct 31, 2022 Accepting new patients
Mercy Hospital Jefferson CurrentSince Oct 21, 2019 Accepting new patients
Mercy Hospital South Emergency Medicine CurrentSince Oct 21, 2019 Accepting new patients
Mercy Hospital Perry Family Medicine CurrentSince Dec 19, 2023 Accepting new patients
Mercy Hospitals East Communities CurrentSince Oct 21, 2019 Accepting new patients
Mercy Clinic Pain Management, LLC CurrentSince Aug 1, 2021 Accepting new patients
Mercy Hospital Lincoln Family Medicine CurrentSince Oct 21, 2019 Accepting new patients
Audrain Health Care, Inc Past Accepting new patients

Locations

15945 Clayton Rd
Ste 220CLAY
Ballwin, MO 63011
Phone (636) 239-8097

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

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

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

12700 Southfork Rd
Ste 153
Saint Louis, MO 63128
Phone (314) 543-5283

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

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

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1558591198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DUSTIN",
        "middle_name": "RICKY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2012013494",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2012013494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.