Active NPI
Khanjan H Nagarsheth, MD
- Vascular Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 2026026308
- Practice address
- 1201 S Grand Blvd
Saint Louis, MO 63104-1016 - Phone
- (314) 617-2000
- NPI assigned
- Aug 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA09752900 | NJ | |
| Vascular Surgery Physician | 2086S0129X | MD446266 | PA | |
| Trauma Surgery Physician | 2086S0127X | 25MA09752900 | NJ | |
| Surgical Critical Care Physician | 2086S0102X | 25MA09752900 | NJ | |
| Vascular Surgery Physician | 2086S0129X | 2026026308 | MO | Primary |
| Vascular Surgery Physician | 2086S0129X | D84537 | MD |
Addresses
Primary practice location
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Mailing address
22 S Greene St Ste 10B100
Baltimore, MD 21201-1544
Phone (410) 328-5840
Other practice location 1
310 Stock St Ste 3
Hanover, PA 17331-2276
Phone (717) 637-1738
Other practice location 2
419 W Redwood St Ste 240
Baltimore, MD 21201-7004
Phone (410) 328-5840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103799788 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SSM Health Care Group
Practice addresses (Care Compare)
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5191
300 Highland Ave
Hanover, PA 17331-2297
Phone (667) 214-1734
9300 Lottsford Rd
Suite 300
Largo, MD 20774-4886
Phone (240) 719-7648
Hospital & facility affiliations
- University of Maryland Medical Center
- University of MD Shore Medical Center at Easton
- University of MD Medical Center Midtown Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 78 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| University of Maryland Surgical Associates, PA | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| University of Maryland Surgcial Assoc PA | Past | Accepting new patients | |
| University of Maryland Medical Center, LLC | Past | Accepting new patients |
Locations
116 Defense Hwy
Ste 100
Annapolis, MD 21401
Phone (410) 553-8300
419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
22 S Greene St
Ste 10B100
Baltimore, MD 21201
419 W Redwood St
Ste 240
Baltimore, MD 21201
Phone (410) 328-1064
419 W Redwood St
Ste 300
Baltimore, MD 21201
Phone (410) 328-5300
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
310 Stock St
Ste 3
Hanover, PA 17331
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
1703 Innovation Dr
Ste 4120
York, PA 17408
Phone (717) 632-9263
Interoperability endpoints
- knagarsheth69274@direct.umm.edu
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Family Medicine Physician
- Lemoyne, PA
- NPI 1891133518
-
- Surgery Physician
- Lancaster, PA
- NPI 1285163758
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
- Ambulatory Surgical Clinic/Center
- Baltimore, MD
- NPI 1083624225
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
-
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1275789430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S GREENE ST STE 10B100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-5840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041016",
"telephone_number": "314-617-2000"
}
],
"practiceLocations": [
{
"address_1": "310 Stock St Ste 3",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "173312276",
"country_code": "US",
"telephone_number": "717-637-1738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "419 W Redwood St Ste 240",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212017004",
"country_code": "US",
"telephone_number": "410-328-5840",
"fax_number": "410-328-0717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAGARSHETH",
"first_name": "KHANJAN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-07",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MA09752900",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD446266",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NJ",
"license": "25MA09752900",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NJ",
"license": "25MA09752900",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "2026026308",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MD",
"license": "D84537",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103799788",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.