Timothy Lackey, MD
NPI 1679529382 · Pediatrics Physician · Saint Louis, MO
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Lackey, MD is a Pediatrics Physician provider in Saint Louis, MO (NPI 1679529382).
Provider details
- NPI number
- 1679529382
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 103240 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-25
- Last updated
- 2013-02-04
Frequently asked questions
- What is Timothy Lackey's NPI number?
- Timothy Lackey's National Provider Identifier (NPI) is 1679529382, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Lackey's specialty?
- Timothy Lackey is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy Lackey located?
- Timothy Lackey's practice location on file with NPPES is 3555 Sunset Office Dr, Saint Louis, MO 63127-1015.
- What is Timothy Lackey's phone number?
- The practice phone number listed in the NPPES registry for Timothy Lackey is (314) 966-0252.
- Does Timothy Lackey accept Medicare?
- Timothy Lackey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Lackey's NPI active?
- Yes — Timothy Lackey's NPI (1679529382) is active in the NPPES registry as of the last update on 2013-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.