Individual provider Active NPI

Sanjeev Kamat, MD

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1649375288
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2006025393 Issued in MO
Practice address
3535 S Jefferson Ave Ste 109
Saint Louis, MO 63118-3907
Phone
(314) 354-8008
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2006025393 MO Primary

Addresses

Primary practice location

3535 S Jefferson Ave Ste 109
Saint Louis, MO 63118-3907

Mailing address

3535 S Jefferson Ave Ste 109
Saint Louis, MO 63118-3907
Phone (314) 354-8008

Other identifiers 1

IdentifierTypeStateIssuer
202685202MedicaidMO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070305000203 MO Practitioner - Psychiatry 4385746767 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3915 Watson Rd
Saint Louis, MO 63109-1251
Phone (314) 354-8008

Hospital & facility affiliations

  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108
  • SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104

Merit-based Incentive Payment System (MIPS)

Final score
91.41 of 100Reported as apm
Quality
79.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Services Inc Psychiatry CurrentSince Feb 9, 2008 Accepting new patients
Poplar Bluff Hma Physician Management, LLC Psychiatry CurrentSince Sep 25, 2015 Accepting new patients
Advanced Psychiatric Services Psychiatry Past Accepting new patients
Sa Hospital Acquisition Group, LLC PastSince Aug 18, 2006 Accepting new patients

Locations

807 Collins Dr
Festus, MO 63028
Phone (636) 931-4206

3098 Oak Grove Rd
Poplar Bluff, MO 63901
Phone (573) 778-2600

2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111

Interoperability endpoints

  • Direct secure messaging: sanjeev.kamat.1@18773.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1649375288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE STE 109",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183907",
            "telephone_number": "314-354-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S JEFFERSON AVE STE 109",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183907",
            "telephone_number": "314-354-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAT",
        "first_name": "SANJEEV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2006025393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202685202",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.