Active NPI
Kumaran Chinnappan, MD,FACS,FRCS,FASMBS
- Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2010017407
- Practice address
- 12152 Tesson Ferry Rd Ste B
Saint Louis, MO 63128-1779 - Phone
- (314) 858-6172
- NPI assigned
- May 9, 2008
- Last updated
- Feb 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2010017407 | MO | Primary |
Addresses
Primary practice location
12152 Tesson Ferry Rd Ste B
Saint Louis, MO 63128-1779
Mailing address
9621 Olive Blvd #8344
Saint Louis, MO 63132-9998
Phone (314) 690-1527
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 690-1527
1400 Hwy 61 S
Mercy Hosp Jefferson
Festus, MO 63028-4100
Phone (314) 690-1527
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010017407 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Bariatrics LLC | Surgery | Current | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
10007 Kennerly Rd
Ste A
Saint Louis, MO 63128
Phone (314) 690-1552
12152 Tesson Ferry Rd
Ste B
Saint Louis, MO 63128
Phone (314) 858-6172
1400 Lemay Ferry Rd
Saint Louis, MO 63125
Phone (314) 338-7955
3933 S Broadway
Saint Louis, MO 63118
Phone (314) 865-3333
9621 Olive Blvd
Unit 8344
Saint Louis, MO 63132
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Saint Louis, MO
- NPI 1881079994
-
- Surgery Physician
- Saint Louis, MO
- NPI 1922426725
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1346417250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 OLIVE BLVD #8344",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631329998",
"telephone_number": "314-690-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12152 TESSON FERRY RD STE B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631281779",
"telephone_number": "314-858-6172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINNAPPAN",
"first_name": "KUMARAN",
"credential": "MD,FACS,FRCS,FASMBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2010017407",
"primary": true
}
],
"identifiers": [],
"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 Feb 22, 2024; 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.