Active NPI
Kunj G Patel, M.D.
- Physical Medicine & Rehabilitation Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2019016517
- Practice address
- 4455 Duncan Ave Ste 8N
Saint Louis, MO 63110-1111 - Phone
- (314) 282-7246
- Fax
- (301) 579-4284
- NPI assigned
- May 5, 2014
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 274535 | MA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 036.150024 | IL | |
| General Practice Physician | 208D00000X | 2019016517 | MO | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 2019016517 | MO | Primary |
| General Practice Physician | 208D00000X | 036.150024 | IL | |
| Pain Medicine Physician | 208VP0000X | 036.150024 | IL | |
| Interventional Pain Medicine Physician | 208VP0014X | 2019016517 | MO |
Addresses
Primary practice location
4455 Duncan Ave Ste 8N
Saint Louis, MO 63110-1111
Mailing address
3909 Castellina Way
Manteca, CA 95337-8454
Phone (314) 282-7246
Other practice location 1
4590 S Lindbergh Blvd
Saint Louis, MO 63127-1839
Phone (314) 312-2862
Other practice location 2
10435 Clayton Rd Ste 110
Frontenac, MO 63131-2930
Phone (314) 312-2862
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://kpatel2862.onetouchemr.com/ | ||
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | Barnes Jewish West County Hospital |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Barnes Jewish West County Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, CA
- 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
- Physical Medicine and Rehabilitation
- Education
- West Virginia University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4455 Duncan Ave
Suite 8N
Saint Louis, MO 63110-1111
Phone (314) 312-2862
550 A Castro St
San Francisco, CA 94114-2512
Phone (415) 754-3549
Hospital & facility affiliations
- California Pacific Medical Center- Van Ness Campus
- California Pacific Medical Ctr-Davies Campus Hosp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274535 | MA | MD | Anesthesiology Physician |
| 036.150024 | IL | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kunj Govind Patel MD PC | Interventional Pain Medicine | Current | Accepting new patients |
| Kunj Govind Patel MD LLC, a Series LLC | Interventional Pain Medicine | Current | Accepting new patients |
| UCSF Health Community Hospitals | Interventional Pain Medicine | Past | Accepting new patients |
| Kunj Patel Medical Doctor PC | Past | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| Mercy Hospitals East Communities | Past | Accepting new patients | |
| St. Mary'S Medical Center | Past | Accepting new patients | |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients | |
| Seton Medical Center | Past | Accepting new patients | |
| Brigham and Women'S Faulkner Hospital, Inc. | Interventional Pain Medicine | Past | Accepting new patients |
Locations
20500 Belshaw Ave
Carson, CA 90746
Phone (202) 375-4491
20500 Belshaw Ave
#2110
Carson, CA 90746
1850 Sullivan Ave
Ste 488
Daly City, CA 94015
Phone (415) 841-3833
2233 Irving St
San Francisco, CA 94122
Phone (415) 753-3300
450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000
222 7th St
San Francisco, CA 94103
Phone (415) 255-1200
550A Castro St
San Francisco, CA 94114
Phone (415) 754-3549
95 W 11th St
Ste 102
Tracy, CA 95376
Phone (209) 229-8756
10435 Clayton Rd
Ste 120
Saint Louis, MO 63131
Phone (314) 442-4452
4455 Duncan Ave
Ste 8N
Saint Louis, MO 63110
Phone (314) 282-7246
4590 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 270-9494
10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kpatel653692@hisp.ehr.sutterhealth.org
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 10
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Tracy, CA
- NPI 1205571734
Interventional Pain Medicine
-
- Interventional Pain Medicine Physician
- Frontenac, MO
- NPI 1871132720
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- San Francisco, CA
- NPI 1477309094
-
- Rehabilitation Hospital Unit
- Saint Louis, MO
- NPI 1235236779
-
- Psychiatric Hospital Unit
- Boston, MA
- NPI 1033121025
Interventional Pain Medicine
-
- Diagnostic Radiology Physician
- Jamaica Plain, MA
- NPI 1578549507
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- General Acute Care Hospital
- Daly City, CA
- NPI 1679608640
-
- Community Based Hospice Care Agency
- Duluth, MN
- NPI 1225089634
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
Interventional Pain Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1699185249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 CASTELLINA WAY",
"city": "MANTECA",
"state": "CA",
"postal_code": "953378454",
"telephone_number": "314-282-7246",
"fax_number": "301-579-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 DUNCAN AVE STE 8N",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101111",
"telephone_number": "314-282-7246",
"fax_number": "301-579-4284"
}
],
"practiceLocations": [
{
"address_1": "4590 S Lindbergh Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631271839",
"country_code": "US",
"telephone_number": "314-312-2862",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10435 Clayton Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Frontenac",
"state": "MO",
"postal_code": "631312930",
"country_code": "US",
"telephone_number": "314-312-2862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "KUNJ",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-05",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "274535",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "036.150024",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "2019016517",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2019016517",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036.150024",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "IL",
"license": "036.150024",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MO",
"license": "2019016517",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://kpatel2862.onetouchemr.com/",
"affiliation": "N",
"address_1": "4455 Duncan Ave Ste 8N",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101111",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Barnes Jewish West County Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10435 Clayton Rd Ste 110",
"city": "Frontenac",
"state": "MO",
"country_code": "US",
"postal_code": "631312930",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Barnes Jewish West County Hospital",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Application Programming Interface (API)",
"address_1": "4455 Duncan Ave Ste 8N",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101111",
"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 Jan 10, 2022; 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.