Provider Demographics
NPI:1588874820
Name:REUTER, MATTHEW DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:DANIEL
Last Name:REUTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:121 SAINT LUKES CENTER DR STE 401A
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3519
Mailing Address - Country:US
Mailing Address - Phone:314-576-5550
Mailing Address - Fax:314-576-3007
Practice Address - Street 1:121 SAINT LUKES CENTER DR STE 401A
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3519
Practice Address - Country:US
Practice Address - Phone:314-576-5550
Practice Address - Fax:314-576-3007
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005020210207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00653578Medicare PIN
AL510I110204Medicare PIN