NPIMap

Individual provider Active NPI

Neill Marshall Wright, MD

  • Neurological Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1770500209
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
119477 Issued in MO
Practice address
12855 N 40 Dr Ste 125
Saint Louis, MO 63141-8663
Phone
(314) 806-1770
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036152559 IL
Neurological Surgery Physician 207T00000X 119477 MO Primary

Addresses

Primary practice location

12855 N 40 Dr Ste 125
Saint Louis, MO 63141-8663

Mailing address

12855 N 40 Dr Ste 125
Saint Louis, MO 63141-8663
Phone (314) 806-1770

Other practice location 1

3 Saint Elizabeth Blvd Ste 3900
O Fallon, IL 62269-1282
Phone (314) 806-1770

Other practice location 2

112 Piper Hill Dr Ste 12
Saint Peters, MO 63376-1690
Phone (314) 806-1770

Other identifiers 2

IdentifierTypeStateIssuer
F400831111OtherILNGS
ENROLLEDMedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20090428000165 MO Practitioner - Neurosurgery 8224186432 Reassigns benefits to 1 organization
I20200514000715 IL Practitioner - Neurosurgery 8224186432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Facilities Rehab Services IncGroup PAC ID 3476679226, 152 clinicians
Elite Physical Therapy of Creve Coeur LLCGroup PAC ID 7719280841, 85 clinicians
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians

Practice addresses (Care Compare)

1102 Sikes Ave
Sikeston, MO 63801-5021

12788 Olive Blvd
Creve Coeur, MO 63141-6211

12855 N 40 Dr
125 Neurosurgery of St Louis
Saint Louis, MO 63141-8663
Phone (314) 806-1770

12855 N 40 Dr
Arch Cancer Care
Saint Louis, MO 63141-8622
Phone (314) 523-5444

12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071

6812 State Route 162 200
Maryville, IL 62062-8562
Phone (618) 288-0900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion177
Laminectomy or laminotomy (partial removal of spine bones)20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036152559ILMDNeurological Surgery Physician
119477MOMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology of St. Louis, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Urology of St. Louis, Inc. Past Accepting new patients

Locations

2044 Madison Ave
Ste G7
Granite City, IL 62040
Phone (314) 500-2424

6812 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900

3 Saint Elizabeth Blvd
Ste 3900
O Fallon, IL 62269
Phone (314) 806-1770

3009 N Ballas Rd
Ste 250C
Saint Louis, MO 63131
Phone (314) 432-5616

12855 N 40 Dr
Ste 375
Saint Louis, MO 63141

12855 N 40 Dr
Ste 125
Saint Louis, MO 63141
Phone (314) 806-1770

12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415

112 Piper Hill Dr
Ste 3
Saint Peters, MO 63376
Phone (314) 806-1770

112 Piper Hill Dr
Ste 12
Saint Peters, MO 63376
Phone (314) 806-1770

965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054

Interoperability endpoints

  • Direct secure messaging: neillwright@slus.allscriptsdirect.net

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 8

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1770500209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418663",
            "telephone_number": "314-806-1770",
            "fax_number": "314-558-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 125",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418663",
            "telephone_number": "314-806-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Saint Elizabeth Blvd Ste 3900",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691282",
            "country_code": "US",
            "telephone_number": "314-806-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Piper Hill Dr Ste 12",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761690",
            "country_code": "US",
            "telephone_number": "314-806-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "NEILL",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036152559",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "119477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS",
            "identifier": "F400831111",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.