Individual provider Active NPI

Ketan J Patel, MD

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1659398279
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
103764 Issued in MO
Practice address
11133 Dunn Rd
Dept Emergency Med
Saint Louis, MO 63136-6163
Phone
(314) 362-9123
Fax
(314) 747-9160
NPI assigned
Jul 17, 2006
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 103764 MO Primary

Addresses

Primary practice location

11133 Dunn Rd
Dept Emergency Med
Saint Louis, MO 63136-6163

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-9123

Electronic endpoints 1

TypeEndpointUseAffiliation
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 MO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040607000187 MO Practitioner - Internal MedicinePractitioner - Emergency Medicine 4587646104 Reassigns benefits to 6 organizations
I20201218001060 IL Practitioner - Emergency MedicinePractitioner - Hospitalist 4587646104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Physicians LLCGroup PAC ID 6507129699, 9 clinicians
Emergency Physicians of St Lukes LLCGroup PAC ID 3779714142, 63 clinicians

Practice addresses (Care Compare)

12304 Manchester Rd
Des Peres, MO 63131-4315
Phone (314) 965-6871

232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 434-1500

2325 Dougherty Ferry Rd
Suite 104
Saint Louis, MO 63122-3356
Phone (314) 821-6889

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hermann Area Hospital District CurrentSince Aug 1, 2014 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Jan 4, 2025 Accepting new patients
Family Medicine - SLMG South, LLC CurrentSince Jul 1, 2025 Accepting new patients
Emergency Services Midwest SC Emergency Medicine CurrentSince Nov 4, 2020 Accepting new patients
Emergency Physicians of St. Luke's, LLC Emergency Medicine CurrentSince Aug 4, 2025 Accepting new patients
Premier Medical Physicians LLC Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Aug 23, 2014 Accepting new patients
Hermann Area Hospital District CurrentSince Aug 1, 2014 Accepting new patients
BC Missouri Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine Past Accepting new patients
St. Lukes Medical Group Internal Medicine Past Accepting new patients
Physician Specialists of St Lukes LLC Emergency Medicine Past Accepting new patients
Christian Hospital Northeast- Northwest Past Accepting new patients
Mercy Hospital South Emergency Medicine Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

832 Arnold Commons Dr
Arnold, MO 63010
Phone (636) 685-7899

1722 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 206-2665

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

12304 Manchester Rd
Des Peres, MO 63131
Phone (314) 965-6871

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

1225 Graham Rd
Florissant, MO 63031
Phone (314) 653-5630

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

1501 Professional Dr
Imperial, MO 63052
Phone (636) 464-4000

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

5551 Winghaven Blvd
Ste 100
O Fallon, MO 63368
Phone (636) 695-2500

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

2325 Dougherty Ferry Rd
Ste 104
Saint Louis, MO 63122
Phone (314) 821-6889

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
  • Direct secure messaging: ketan.patel.1@25598.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1659398279",
    "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": "314-362-9123",
            "fax_number": "314-747-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD",
            "address_2": "DEPT EMERGENCY MED",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366163",
            "telephone_number": "314-362-9123",
            "fax_number": "314-747-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KETAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-07-14",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "103764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "11133 Dunn Rd",
            "address_2": "Dept Emergency Med",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.