Individual provider Active NPI

Donte McClary, MD

  • Internal Medicine Physician
  • Bridgeton, MO
National Provider Identifier
1689647497
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2001022829 Issued in MO
Practice address
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone
(314) 344-6000
Fax
(314) 317-0606
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2001022829 MO Primary
Hospitalist Physician 208M00000X 2001022829 MO

Addresses

Primary practice location

12303 De Paul Dr
Bridgeton, MO 63044-2512

Mailing address

12101 Woodcrest Executive Dr
Suite 210
Saint Louis, MO 63141-5047
Phone (314) 317-0600

Other identifiers 2

IdentifierTypeStateIssuer
1689647497MedicaidIL
205401151MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111117000148 MO Practitioner - Internal MedicinePractitioner - Hospitalist 9436063179 Reassigns benefits to 4 organizations
I20210112000986 TX Practitioner - Internal Medicine 9436063179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TX, PLLCGroup PAC ID 3274998067, 376 clinicians
Sound Physicians of Illinois LLCGroup PAC ID 1557533734, 193 clinicians

Practice addresses (Care Compare)

1310 McCullough Ave
San Antonio, TX 78212-5601
Phone (210) 757-2200

6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001022829MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of TX, PLLC Hospitalist CurrentSince Sep 28, 2023 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
SSM Health Care St Louis CurrentSince Jan 9, 2019 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Sound Physicians of Illinois, LLC Internal Medicine CurrentSince Jul 5, 2017 Accepting new patients
KPH-Consolidation, Inc. Past Accepting new patients
Mayo Clinic Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
Affinia Healthcare Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Interoperability endpoints

  • Direct secure messaging: dmcclary7297@direct-ehr-ssmhc.com

Organizations & group practices 12

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 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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1689647497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 WOODCREST EXECUTIVE DR",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415047",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 DE PAUL DR",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442512",
            "telephone_number": "314-344-6000",
            "fax_number": "314-317-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLARY",
        "first_name": "DONTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001022829",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2001022829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689647497",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205401151",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.