Individual provider Active NPI

Richard Benjamin Speaker III, MD

  • Pediatric Otolaryngology Physician
  • Saint Louis, MO
National Provider Identifier
1679015168
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
2024003737 Issued in MO
Practice address
5114 Mid America PLZ
Dept Otolaryngology, Ste 3a
Saint Louis, MO 63129-0003
Phone
(314) 454-6162
Fax
(314) 454-2174
NPI assigned
Nov 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 2024003737 MO Primary

Addresses

Primary practice location

5114 Mid America PLZ
Dept Otolaryngology, Ste 3a
Saint Louis, MO 63129-0003

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-6162

Other identifiers 1

IdentifierTypeStateIssuer
200137719MedicaidMO

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
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
I20240320003329 MO Practitioner - Otolaryngology 7214374685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

660 S Euclid Ave Box
8115 Dept of Otolaryngology
Saint Louis, MO 63110-1010
Phone (314) 362-7509

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Apr 22, 2024 Accepting new patients
Washington University CurrentSince Apr 22, 2024 Accepting new patients
Washington University Past Accepting new patients

Locations

5114 Mid America Plz
Ste 3A
Saint Louis, MO 63129
Phone (314) 454-6120

660 S Euclid Ave
Saint Louis, MO 63110

660 S Euclid Ave
#8115
Saint Louis, MO 63110
Phone (314) 362-7395

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

1 Childrens Pl
Ste 3S
Saint Louis, MO 63110
Phone (314) 454-6162

13001 North Outer 40 Rd
Ste 2D
Town and Country, MO 63017
Phone (314) 454-3130

Organizations & group practices 3

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1679015168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-454-6162",
            "fax_number": "314-454-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 MID AMERICA PLZ",
            "address_2": "DEPT OTOLARYNGOLOGY, STE 3A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631290003",
            "telephone_number": "314-454-6162",
            "fax_number": "314-454-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKER",
        "first_name": "RICHARD",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2025-04-17",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "MO",
            "license": "2024003737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200137719",
            "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": "5114 Mid America Plz",
            "address_2": "Dept Otolaryngology, Ste 3A",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631290003",
            "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.