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DR. TREVOR L TREDWAY MD, PHD
NPI 1376583070
Pediatrics - Pediatric Emergency Medicine in Saint Louis, MO

Active since June 08, 2006PECOS Enrolled
81.57/100
CMS Quality Rating
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5360(314) 268-4116 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 18, 2021, Apr 17, 2019 (2 updates tracked since 2019).

About Dr. Trevor L Tredway Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TREVOR L TREDWAY MD, PHD (NPI 1376583070) is an individual pediatric emergency medicine provider in Saint Louis, Missouri, licensed in Missouri (2003006429) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376583070
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. TREVOR L TREDWAYCredential: MD, PHD
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 577-5360 · Fax (314) 268-4116
Phone(314) 577-5360
Fax(314) 268-4116
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateJanuary 18, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
✔ NPI 1376583070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MO · 2003006429
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
1465 S GRAND BLVD, Saint Louis, MO 63104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Trevor L Tredway Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trevor Tredway's NPI number?

The NPI number for Trevor Tredway is 1376583070. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Trevor Tredway located?

Trevor Tredway practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5360.

What is Trevor Tredway's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Trevor Tredway enrolled in Medicare?

Yes. Trevor Tredway is registered in the Medicare PECOS enrollment system.

What insurance does Trevor Tredway accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Trevor Tredway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trevor Tredway was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.