Individual provider Active NPI

Kirankumar Amrutlal Prajapati

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1205193034
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.207850 Issued in LA
Practice address
6420 Clayton Road
St.Mary'S Health Center,Department of Internal Medicine
Saint Louis, MO 63117
Phone
(314) 768-8778
NPI assigned
Apr 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.207850 LA Primary

Addresses

Primary practice location

6420 Clayton Road
St.Mary'S Health Center,Department of Internal Medicine
Saint Louis, MO 63117

Mailing address

6420 Clayton Road
St.Mary'S Health Center,Department of Internal Medicine
Saint Louis, MO 63117
Phone (314) 768-8778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150826001302 LA Practitioner - HospitalistPractitioner - Internal Medicine 3779899406 Reassigns benefits to 1 organization
I20180905000587 TX Practitioner - Internal Medicine 3779899406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Healthcare Services of Texas PLLCGroup PAC ID 3971824939, 184 clinicians
Lonestar Pat Associates PAGroup PAC ID 9335559871, 24 clinicians

Practice addresses (Care Compare)

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 942-4146

2400 Round Rock Ave
Round Rock, TX 78681-4004
Phone (512) 341-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207850LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Louisiana, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Aug 15, 2018 Accepting new patients
Lonestar Pat Associates PA Internal Medicine CurrentSince Sep 29, 2020 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Locations

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1205193034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON ROAD",
            "address_2": "ST.MARY'S HEALTH CENTER,DEPARTMENT OF INTERNAL MEDICINE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-768-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 CLAYTON ROAD",
            "address_2": "ST.MARY'S HEALTH CENTER,DEPARTMENT OF INTERNAL MEDICINE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63117",
            "telephone_number": "314-768-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAJAPATI",
        "first_name": "KIRANKUMAR",
        "middle_name": "AMRUTLAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.207850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.