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

Timothy Reilly

Individual provider Physician Assistant · NPI 1679058754

Timothy Reilly is a Physician Assistant in Saint Louis, Missouri. Graduated from Texas Tech University Health Science Center School of Medicine in 2018, 8 years ago. Practices with St Anthonys Physician Organization Hospitalist Services Lc, a 139-clinician group and accepts Medicare assignment. Licensed in Missouri and New York.

Years since qualifying
8
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
MO, NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-1328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2022037500 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 022615 (NY)

Record details

NPI number1679058754
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 25, 2018
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice St Anthonys Physician Organization Hospitalist Services Lc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis