Individual provider Active NPI

Timothy C Philpott, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1861570004
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
106250 Issued in MO
Practice address
3023 N Ballas Rd
Ste 120D
Saint Louis, MO 63131-2330
Phone
(314) 432-3669
Fax
(314) 432-3118
NPI assigned
Nov 2, 2006
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
Obstetrics & Gynecology Physician 207V00000X 106250 MO Primary

Addresses

Primary practice location

3023 N Ballas Rd
Ste 120D
Saint Louis, MO 63131-2330

Mailing address

PO Box 7412065
Chicago, IL 60674-2065
Phone (314) 432-3669

Other identifiers 1

IdentifierTypeStateIssuer
203877006MedicaidMO

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
I20120229000086 MO Practitioner - Obstetrics/Gynecology 8224296801 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Washington University School of Medicine, 1994
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)

3023 N Ballas Rd
120D Wuca Women'S Care Consultants
Saint Louis, MO 63131-2357
Phone (314) 432-3669

Hospital & facility affiliations

  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital Obstetrics & Gynecology CurrentSince Feb 5, 2024 Accepting new patients
Missouri Baptist Medical Center CurrentSince Oct 18, 2019 Accepting new patients
Missouri Baptist Medical Center CurrentSince Oct 18, 2019 Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Feb 5, 2024 Accepting new patients
Washington University CurrentSince Apr 15, 2024 Accepting new patients
Washington University CurrentSince Apr 15, 2024 Accepting new patients
Washington University Past Accepting new patients
Missouri Baptist Medical Center Past Accepting new patients

Locations

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

3023 N Ballas Rd
Ste 120D
Saint Louis, MO 63131
Phone (314) 432-3669

209 First Executive Ave
Saint Peters, MO 63376
Phone (636) 936-8777

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

Interoperability endpoints

  • Direct secure messaging: tphilpott10004@direct.carenet.org
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1861570004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412065",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742065",
            "telephone_number": "314-432-3669",
            "fax_number": "314-432-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 N BALLAS RD",
            "address_2": "STE 120D",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312330",
            "telephone_number": "314-432-3669",
            "fax_number": "314-432-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILPOTT",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-04-17",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "106250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203877006",
            "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": "3023 N Ballas Rd",
            "address_2": "Ste 120D",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312330",
            "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.