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

Individual provider Emergency Medicine Physician · NPI 1215080395

Scott R. Roustio, MD is an Emergency Medicine in O Fallon, Illinois. Graduated from Southern Illinois University School of Medicine in 1991, 35 years ago. Practices with Midwest Emergency Good Samaritan, Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2007
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

8422 Braeswood Estates Dr
O Fallon, IL 62269-4235
Phone: (618) 624-0091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036-087697 (IL)

Record details

NPI number1215080395
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESMay 20, 2013
Mailing address8422 Braeswood Estates Dr, O Fallon, IL 62269-4235

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Midwest Emergency Good Samaritan, Inc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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