Active NPI
Ketan J Patel, MD
- Emergency Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 103764
- 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, 2025
- 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 |
|---|---|---|---|---|
| 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
| 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 MO, IL
- 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
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hermann Area Hospital District | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Family Medicine - SLMG South, LLC | Current | Accepting new patients | |
| Emergency Services Midwest SC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of St. Luke's, LLC | Emergency Medicine | Current | Accepting new patients |
| Premier Medical Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians of Memphis LLC | Emergency Medicine | Current | Accepting new patients |
| Hermann Area Hospital District | Current | 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
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
- 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.
-
- Emergency Medicine Physician
- Chesterfield, MO
- NPI 1215359815
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1417459207
Internal Medicine
-
- Family Medicine Physician
- Imperial, MO
- NPI 1164077822
-
dba Hermann Area District Hospital
- Family Medicine Physician
- Hermann, MO
- NPI 1083749188
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1174024806
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
MO
-
dba Hermann Area District Hospital
- Medicare Defined Swing Bed Hospital Unit
- Hermann, MO
- NPI 1679648661
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1003831678
-
- General Practice Physician
- Saint Louis, MO
- NPI 1265440150
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
Emergency Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.