Individual provider Active NPI

Timothy Wayne Schloss, M.D.

  • Interventional Cardiology Physician
  • Fenton, MO
National Provider Identifier
1881745909
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2004004905 Issued in MO
Practice address
1203 Smizer Mill Rd
Suite 102
Fenton, MO 63026-3483
Phone
(314) 251-1700
Fax
(314) 251-1701
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2004004905 MO
Interventional Cardiology Physician 207RI0011X 2004004905 MO Primary

Addresses

Primary practice location

1203 Smizer Mill Rd
Suite 102
Fenton, MO 63026-3483

Mailing address

1203 Smizer Mill Rd
Suite 102
Fenton, MO 63026-3483
Phone (314) 251-1700

Other identifiers 2

IdentifierTypeStateIssuer
P01129269OtherMORAILROAD MEDICARE
1881745909MedicaidMO

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
I20090603000529 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 9638229131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Saint Louis University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Heart and Vascular LLCGroup PAC ID 8820016207, 112 clinicians

Practice addresses (Care Compare)

625 S New Ballas Rd
Suite 2015
Saint Louis, MO 63141-8253
Phone (314) 251-1700

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311
  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis Cardiovascular Disease CurrentSince Jul 1, 2010 Accepting new patients
Metro Heart Group of St. Louis, Inc. Past Accepting new patients
Mercy Clinic East Communities Past Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1015 Bowles Ave
Ste 1000
Fenton, MO 63026
Phone (636) 390-1400

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

Interoperability endpoints

  • Direct secure messaging: tschloss104764@directc.mercy.net

Organizations & group practices 5

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 6

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1881745909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 SMIZER MILL RD",
            "address_2": "SUITE 102",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263483",
            "telephone_number": "314-251-1700",
            "fax_number": "314-251-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 SMIZER MILL RD",
            "address_2": "SUITE 102",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263483",
            "telephone_number": "314-251-1700",
            "fax_number": "314-251-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOSS",
        "first_name": "TIMOTHY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2004004905",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2004004905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01129269",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881745909",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

Verify at the official NPI Registry.