Individual provider Active NPI

Ksenija Kos, MD

  • Neurology Physician
  • Saint Louis, MO
National Provider Identifier
1265454987
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2001010352 Issued in MO
Practice address
845 N New Ballas CT
Div Neurology Community, Ste 202
Saint Louis, MO 63141-7134
Phone
(557) 747-2529
Fax
(314) 371-4704
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 2001010352 MO Primary

Addresses

Primary practice location

845 N New Ballas CT
Div Neurology Community, Ste 202
Saint Louis, MO 63141-7134

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (557) 747-2529

Other identifiers 1

IdentifierTypeStateIssuer
205684715MedicaidMO

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
I20040130000283 MO Practitioner - PsychiatryPractitioner - Neurology 2961305529 Reassigns benefits to 3 organizations
Practice locations: St Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Neurology, LLCGroup PAC ID 8729183967, 21 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
5003B
Saint Louis, MO 63141-8270
Phone (314) 227-2020

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001010352MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Jul 1, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Oct 1, 2003 Accepting new patients
Mercy Hospitals East Communities CurrentSince Oct 1, 2003 Accepting new patients
Mercy Clinic Neurology, LLC Neurology CurrentSince Jan 5, 2013 Accepting new patients

Locations

621 S New Ballas Rd
Ste 5003B
Saint Louis, MO 63141
Phone (314) 227-2020

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

621 S New Ballas Rd
Ste 50
Saint Louis, MO 63141
Phone (314) 227-2020

621 S New Ballas Rd
Ste 460A
Saint Louis, MO 63141
Phone (314) 251-4330

621 S New Ballas Rd
Ste 6005B
Saint Louis, MO 63141
Phone (314) 251-6075

1176 Town and Country Commons Dr
Town and Country, MO 63017
Phone (636) 207-2200

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • Direct secure messaging: kkos100163@directc.mercy.net

Organizations & group practices 4

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 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1265454987",
    "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": "557-747-2529",
            "fax_number": "314-371-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT",
            "address_2": "DIV NEUROLOGY COMMUNITY, STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417134",
            "telephone_number": "557-747-2529",
            "fax_number": "314-371-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOS",
        "first_name": "KSENIJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2001010352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205684715",
            "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": "845 N New Ballas Ct",
            "address_2": "Div Neurology Community, Ste 202",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631417134",
            "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.