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

Thomas Fay

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1528592789

Thomas Fay is a Pathology in Maryville, Illinois. Graduated from Tulane University School of Medicine in 2017, 9 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
9
Trained at
Tulane University School of Medicine
Licensed in
IL, MO
In the registry since
2017
Specialties on file
3

Practice location Address checks out

6800 State Route 162
Maryville, IL 62062-8500
Phone: (618) 391-6140
Fax: (618) 288-2164
Show map & directions

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

Additional practice locations (2)

  • 1201 S Grand Blvd, Saint Louis, MO 63104-1016 — (618) 391-6140
  • 1402 S Grand Blvd, Saint Louis, MO 63104-1004 — (314) 577-8694

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036160350 (IL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 2020041595 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528592789
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2017
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022
Mailing address1831 Chestnut St Ste 650, Saint Louis, MO 63103-2236

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Maryville