Sophia Eugenia Agapova, MD
Individual provider Active NPI Hospitalist Physician · Saint Louis, MO
NPI 1306377635 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1306377635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 2020013951 (MO)
- Practice address
- 1 Childrens PL
Div Ped Hospitalist Med
Saint Louis, MO 63110-1002 - Phone
- (314) 454-2076
- Fax
- (314) 747-8953
- NPI assigned
- Mar 27, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Columbia University College of Physicians and Surgeons, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington University
Practice addresses (Care Compare)
1 Childrens PL
Saint Louis, MO 63110-1002
Phone (314) 273-1006
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200702001435 | MO | Practitioner - Pediatric Medicine | 3870861842 | Reassigns benefits to 1 organization |
| I20200908002304 | IL | Practitioner - Hospitalist |
3870861842 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020013951 | MO | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University Physicians in Illinois, Inc | Current |
Accepting new patients | |
| Washington University | Current |
Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current |
Accepting new patients | |
| Washington University | Current |
Accepting new patients | |
| St. Louis Children'S Hospital | Past | Accepting new patients |
Locations
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
4240 Duncan Ave
Ste 301
Saint Louis, MO 63110
1234 S Kingshighway Blvd
Ste 1200
Saint Louis, MO 63110
1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076
1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104
Interoperability endpoints
- sagapova370711@direct.peacehealth.org
- sagapova1261555@direct.carenet.org
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2020013951 | MO | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 2020013951 | MO | |
| Hospitalist Physician | 208M00000X | 2020013951 | MO | Yes |
Addresses
Primary practice location
1 Childrens PL
Div Ped Hospitalist Med
Saint Louis, MO 63110-1002
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 454-2076
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200084812 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Other providers in Saint Louis, MO
- Agape Consumer Directed Services, LLC
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- Agape in Motion
- Agape Love Adult Day Center
- Agape Love in Home LLC
- Anubha Agarwal
- Anupam Agarwal
- Ashima Agarwal
- Gautum Agarwal
- Ishan Kumar Agarwal
All providers in Saint Louis, MO · Hospitalist Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.