Individual provider Active NPI

Sandeep Rohatgi, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1194791335
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
103550 Issued in MO
Practice address
5114 Mid America PLZ
Ste 2C
Saint Louis, MO 63129-0003
Phone
(314) 859-4000
Fax
(314) 273-4110
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 103550 MO Primary

Addresses

Primary practice location

5114 Mid America PLZ
Ste 2C
Saint Louis, MO 63129-0003

Mailing address

PO Box 7412051
Chicago, IL 60674-2051
Phone (314) 859-4000

Other identifiers 1

IdentifierTypeStateIssuer
203993209MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181226001170 MO Practitioner - Pediatric Medicine 8426054800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
103550MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pediatrics LLC CurrentSince Nov 10, 2018 Accepting new patients
Mercy Clinic East Communities Pediatrics PastSince Jul 1, 2006 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

150 Richardson Xing
Arnold, MO 63010
Phone (314) 859-4000

5114 Mid America Plz
Ste 2C
Saint Louis, MO 63129
Phone (314) 859-4000

Interoperability endpoints

  • Direct secure messaging: srohatgi262@directc.mercy.net
  • Direct secure messaging: srohatgi168525@direct.carenet.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1194791335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412051",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742051",
            "telephone_number": "314-859-4000",
            "fax_number": "314-273-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 MID AMERICA PLZ",
            "address_2": "STE 2C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631290003",
            "telephone_number": "314-859-4000",
            "fax_number": "314-273-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHATGI",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2025-04-18",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "103550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203993209",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "5114 Mid America Plz",
            "address_2": "STE 2C",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631290003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.