Individual provider Active NPI

David Olon McCrary, M.D.

  • Infectious Disease Physician
  • Chesterfield, MO
National Provider Identifier
1821034745
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
2009009434 Issued in MO
Practice address
224 S Woods Mill Rd Ste 510S
Chesterfield, MO 63017-3611
Phone
(314) 205-6605
Fax
(314) 590-5928
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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 2009009434 MO
Infectious Disease Physician 207RI0200X 2009009434 MO Primary

Addresses

Primary practice location

224 S Woods Mill Rd Ste 510S
Chesterfield, MO 63017-3611

Mailing address

224 S Woods Mill Rd Ste 510S
Chesterfield, MO 63017-3611
Phone (314) 205-6605

Other identifiers 1

IdentifierTypeStateIssuer
2009009434OtherMOMISSOURI LICENSE

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
I20110714000314 MO Practitioner - Internal MedicinePractitioner - Infectious Disease 7012185259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
University of Missouri, Kansas City, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physical Therapy Spine and Sports Medicine LLCGroup PAC ID 3173654936, 123 clinicians
West County Adult Medicine, LLCGroup PAC ID 5597852103, 2 clinicians

Practice addresses (Care Compare)

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969

224 S Woods Mill Rd
Suite 510S
Chesterfield, MO 63017-3611
Phone (314) 205-6605

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West County Adult Medicine, LLC Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients
St. Lukes Medical Group Internal Medicine Past Accepting new patients

Locations

224 S Woods Mill Rd
Ste 510S
Chesterfield, MO 63017
Phone (314) 205-6605

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.

Hospital & facility affiliations 2

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1821034745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD STE 510S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173611",
            "telephone_number": "314-205-6605",
            "fax_number": "314-590-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD STE 510S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173611",
            "telephone_number": "314-205-6605",
            "fax_number": "314-590-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "DAVID",
        "middle_name": "OLON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2009009434",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2009009434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "2009009434",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.