Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Richard Waters, MD

Individual provider Radiation Oncology Physician · NPI 1710540786

Dr. Michael Richard Waters, MD is a Radiation Oncology in Saint Louis, Missouri. Graduated from Virginia Commonwealth University, School of Medicine in 2019, 7 years ago. Practices with Washington University Physicians in Illinois Inc, a 167-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
MO
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4921 Parkview Pl Dept Radiation Oncology LL
Saint Louis, MO 63110-1032
Phone: (314) 747-7236
Fax: (314) 362-8099
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 2024016804 (MO)

Record details

NPI number1710540786
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESApril 17, 2025
Certification dateMay 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Washington University Physicians In Illinois Inc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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