Individual provider Active NPI

Kunj G Patel, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Saint Louis, MO
National Provider Identifier
1699185249
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2019016517 Issued in MO
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

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, CA2 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
I20200207000600 MO Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 7113220864 Reassigns benefits to 1 organization
I20220301000432 CA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 7113220864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
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
Kunj Govind Patel MD PCGroup PAC ID 4486033958, 2 clinicians

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 Hospital, San Francisco, CA, CCN 050047
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274535MAMDAnesthesiology Physician
036.150024ILMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kunj Govind Patel MD PC Interventional Pain Medicine CurrentSince Feb 18, 2022 Accepting new patients
Kunj Govind Patel MD LLC, a Series LLC Interventional Pain Medicine CurrentSince Dec 1, 2019 Accepting new patients
UCSF Health Community Hospitals Interventional Pain Medicine Past Accepting new patients
Kunj Patel Medical Doctor PC PastSince Apr 28, 2024 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

  • Direct secure messaging: kpatel653692@hisp.ehr.sutterhealth.org
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.