Individual provider Active NPI

Troy L. Spilde, M.D.

  • Pediatric Surgery Physician
  • Springfield, MO
National Provider Identifier
1871766493
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
036-150920 Issued in IL
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

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
204661607MedicaidMO
PENDINGOtherMORR MEDICARE #
176758001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20080919000595 MO Practitioner - General Surgery 6305913104 Reassigns benefits to 2 organizations
I20191211001845 IL Practitioner - Pediatric Medicine 6305913104 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-150920ILMDPediatric Surgery Physician
115156MOMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siu Physicians & Surgeons, Inc CurrentSince Feb 3, 2020 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince Feb 3, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Apr 10, 2012 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

  • Direct secure messaging: troyspilde@siusm.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.