Rahul S Phatak, MD
Individual provider Active NPI Hospitalist Physician · Saint Louis, MO
NPI 1124086038 · NPPES record last updated Mar 3, 2021
Key facts
- NPI
- 1124086038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 2001009343 (MO)
- Practice address
- 3015 N Ballas Rd
Saint Louis, MO 63131-2329 - Phone
- (314) 996-5772
- Fax
- (314) 996-7691
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Groups LC
Practice addresses (Care Compare)
1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772
Hospital & facility affiliations
- BJC Hospice
- Missouri Baptist Medical Center
- Barnes Jewish Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041206001007 | MO | Practitioner - Internal Medicine | 1658337290 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Current |
Accepting new patients | |
| Physician Groups LC | Current |
Accepting new patients | |
| Sanjay a. Patwardhan, MD, PC | Past | Accepting new patients | |
| BC Missouri Emergency Physicians, LLP | Past | Accepting new patients | |
| Physician Groups LC | Past | Accepting new patients | |
| Missouri Baptist Medical Center | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250
Interoperability endpoints
- rphatak10947@direct.carenet.org
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 2001009343 | MO | Yes |
Addresses
Primary practice location
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Mailing address
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Other providers in Saint Louis, MO
- Pharmacy Management Services Inc
- Pharmacy Services Inc.
- Pharmacy Solutions Inc
- Pharmaloop
- Pharmcare USA of St. Louis, LLC
- Natalie Phegley
- Caitlin Phelan
- Hannah Meredith Phelps
- Kimberly J Phelps
- Patty Phelps
All providers in Saint Louis, MO · Hospitalist Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.