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

Patrick Reardon, MD

Individual provider Orthopaedic Surgery Physician · NPI 1275996183

Patrick Reardon, MD is an Orthopedic Surgery in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Signature Medical Group Inc, a 40-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
Specialties on file
3
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

12639 Old Tesson Rd
Saint Louis, MO 63128-2711
Phone: (314) 849-0311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 2022021266 (MO)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 2022021266 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275996183
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2016
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Signature Medical Group Inc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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