Active NPI
Kruthika Sampathgiri, MD
- Psychiatry Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2024022151
- Practice address
- 600 S Taylor Ave
Dept Psychiatry, Ste 122
Saint Louis, MO 63110-1035 - Phone
- (314) 286-1700
- Fax
- (314) 970-9094
- NPI assigned
- Jul 20, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2024022151 | MO | Primary |
Addresses
Primary practice location
600 S Taylor Ave
Dept Psychiatry, Ste 122
Saint Louis, MO 63110-1035
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 286-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200142168 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
600 S Taylor Ave
Suite 122
Saint Louis, MO 63110-1035
Phone (314) 286-1700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cimpar, S.C. | Current | Accepting new patients | |
| Cimpar Consulting, LLC | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1620 W Harrison St
Chicago, IL 60612
Phone (312) 942-4200
5730 W Roosevelt Rd
Chicago, IL 60644
Phone (773) 413-1700
101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1003856592
-
- Specialist
- Oak Park, IL
- NPI 1861713216
-
- Internal Medicine Physician
- Oak Park, IL
- NPI 1467496224
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1427433416",
"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": "314-286-1700",
"fax_number": "314-970-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S TAYLOR AVE",
"address_2": "DEPT PSYCHIATRY, STE 122",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101035",
"telephone_number": "314-286-1700",
"fax_number": "314-970-9094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMPATHGIRI",
"first_name": "KRUTHIKA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-20",
"last_updated": "2025-04-17",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2024022151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200142168",
"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": "600 S Taylor Ave",
"address_2": "Dept Psychiatry, Ste 122",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101035",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 17, 2025; 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.