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DR. ALAN TOM M.D.
NPI 1912356312
Surgery - Plastic and Reconstructive Surgery in Saint Charles, MO

Active since June 07, 2016PECOS Enrolled
1551 WALL ST STE 420, SAINT CHARLES, MO 63303(636) 329-4036 Get Directions Write a Review

NPPES record last updated: July 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alan Tom M.d. NPPES

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

DR. ALAN TOM M.D. (NPI 1912356312) is an individual plastic and reconstructive surgery provider in Saint Charles, Missouri, licensed in Missouri (2024048097) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912356312
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. ALAN TOMCredential: M.D.
Location Address1551 WALL ST STE 420Saint Charles, MO 63303-3541
Mailing Address1551 Wall St Ste 420Saint Charles, MO 63303-3541 · (636) 329-4036
Phone(636) 329-4036
Sole ProprietorYes
Enumeration DateJune 7, 2016
Last NPPES UpdateJuly 20, 2025
NPPES CertifiedJuly 20, 2025
✔ NPI 1912356312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in MO · 2024048097
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1551 WALL ST STE 420, Saint Charles, MO 63303
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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. Alan Tom M.d. 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.

Other Providers at the Same Location NPPES 2

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

RAFI FREDMAN MD LLC
Clinic/Center
1551 WALL ST STE 420
SAINT CHARLES, MO 63303
St. Charles County (636) 329-4036
RAFI FREDMAN MD
Surgery (Plastic and Reconstructive Surgery)
1551 WALL ST STE 420
SAINT CHARLES, MO 63303
St. Charles County (636) 329-4036

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 Alan Tom's NPI number?

The NPI number for Alan Tom is 1912356312. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Alan Tom located?

Alan Tom practices at 1551 Wall St Ste 420, Saint Charles, MO 63303. The listed phone number is (636) 329-4036.

What is Alan Tom's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Alan Tom enrolled in Medicare?

Yes. Alan Tom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alan Tom was last updated on July 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.