Active NPI
Troy L. Spilde, M.D.
- Pediatric Surgery Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 036-150920
- Practice address
- 1229 E Seminole St
Springfield, MO 65804-2227 - Phone
- (417) 820-5610
- Fax
- (417) 820-5589
- NPI assigned
- Apr 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 115156 | MO | |
| Pediatric Surgery Physician | 2086S0120X | 036-150920 | IL | Primary |
Addresses
Primary practice location
1229 E Seminole St
Springfield, MO 65804-2227
Mailing address
1965 S Fremont Ave Ste 300
Springfield, MO 65804-2278
Phone (417) 820-4000
Other practice location 1
400 N 9th St
Springfield, IL 62702-5310
Phone (217) 545-8000
Other practice location 2
2401 Gillham Rd
Provider Enrollment Department
Kansas City, MO 64108-4619
Phone (816) 234-3000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204661607 | Medicaid | MO | |
| PENDING | Other | MO | RR MEDICARE # |
| 176758001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-150920 | IL | MD | Pediatric Surgery Physician |
| 115156 | MO | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Past | Accepting new patients |
Locations
800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498
2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
1965 S Fremont Ave
Ste 300
Springfield, MO 65804
Phone (417) 820-2936
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
Interoperability endpoints
- troyspilde@siusm.allscriptsdirect.net
- tspilde15800@directb.mercy.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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba SIU HealthCare
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
dba Carbondale Care A Van
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Pediatrics Physician
- Springfield, IL
- NPI 1285657379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1871766493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 S FREMONT AVE STE 300",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042278",
"telephone_number": "417-820-4000",
"fax_number": "417-829-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 E SEMINOLE ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042227",
"telephone_number": "417-820-5610",
"fax_number": "417-820-5589"
}
],
"practiceLocations": [
{
"address_1": "400 N 9th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025310",
"country_code": "US",
"telephone_number": "217-545-8000",
"fax_number": "217-545-0400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 Gillham Rd",
"address_2": "Provider Enrollment Department",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641084619",
"country_code": "US",
"telephone_number": "816-234-3000",
"fax_number": "816-302-9939",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPILDE",
"first_name": "TROY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-03",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "MO",
"license": "115156",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "IL",
"license": "036-150920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204661607",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE #",
"identifier": "PENDING",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176758001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.