Individual provider Active NPI

Khanjan H Nagarsheth, MD

  • Vascular Surgery Physician
  • Saint Louis, MO
National Provider Identifier
1275789430
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2026026308 Issued in MO
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

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
103799788MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180302000650 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 1850609850 Reassigns benefits to 1 organization
I20181128002258 DC Practitioner - Vascular SurgeryPractitioner - General Surgery 1850609850 Reassigns benefits to 1 organization
I20201014000984 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 1850609850 Reassigns benefits to 3 organizations

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 GroupGroup PAC ID 0143608372, shared by 3 NPIs, 929 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)78
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2020 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Aug 1, 2020 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Aug 1, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Aug 1, 2020 Accepting new patients
University of Maryland Surgical Associates, PA CurrentSince Jan 1, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.