Individual provider Active NPI

Nupur Ghoshal, MD

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1205987138
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2007028651 Issued in MO
Practice address
4488 Forest Park Ave
Div Neurology Adult, Ste 160
Saint Louis, MO 63108-2283
Phone
(314) 362-1408
Fax
(314) 747-8427
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2007028651 MO Primary

Addresses

Primary practice location

4488 Forest Park Ave
Div Neurology Adult, Ste 160
Saint Louis, MO 63108-2283

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-1408

Other identifiers 1

IdentifierTypeStateIssuer
204497408MedicaidMO

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
I20081017000716 MO Practitioner - Neurology 0345308458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Northwestern University Feinberg Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

4444 Forest Park Ave
Suite 2600
Saint Louis, MO 63108-2212
Phone (314) 454-7756

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2007028651MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Sep 19, 2008 Accepting new patients
Washington University CurrentSince Sep 19, 2008 Accepting new patients
Washington University Past Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Saint Louis Connectcare Past Accepting new patients

Locations

4444 Forest Park Ave
Ste 2600
Saint Louis, MO 63108

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

660 S Euclid Ave
#C
Saint Louis, MO 63110

660 S Euclid Ave
Saint Louis, MO 63110

4488 Forest Park Ave
Ste 160
Saint Louis, MO 63108
Phone (314) 286-1967

660 S Euclid Ave
#8111
Saint Louis, MO 63110
Phone (314) 362-3281

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

Interoperability endpoints

  • Direct secure messaging: nghoshal154199@direct.carenet.org
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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 4

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1205987138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-1408",
            "fax_number": "314-747-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 FOREST PARK AVE",
            "address_2": "DIV NEUROLOGY ADULT, STE 160",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082283",
            "telephone_number": "314-362-1408",
            "fax_number": "314-747-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSHAL",
        "first_name": "NUPUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2007028651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204497408",
            "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": "4488 Forest Park Ave",
            "address_2": "Div Neurology Adult, Ste 160",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631082283",
            "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.