Individual provider Active NPI

Gautam Rohatgi, DO

  • Psychiatry Physician
  • Florissant, MO
National Provider Identifier
1710065024
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2008034457 Issued in MO
Practice address
1150 Graham Rd
Florissant, MO 63031-8077
Phone
(636) 376-0079
Fax
(636) 677-8440
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2008034457 MO
Psychiatry Physician 2084P0800X 2008034457 MO Primary

Addresses

Primary practice location

1150 Graham Rd
Florissant, MO 63031-8077

Mailing address

3309 S Kingshighway Blvd
Saint Louis, MO 63139-1101
Phone (314) 206-3700

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
I20090206000034 MO Practitioner - Psychiatry 3971667957 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
BJC Behavioral HealthGroup PAC ID 1153225271, shared by 2 NPIs, 63 clinicians
Mercy Clinic Adult Hospitalists - St. Louis, LLCGroup PAC ID 6002809944, 139 clinicians

Practice addresses (Care Compare)

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1899

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-3423

1085 Maple St
Farmington, MO 63640-1955
Phone (573) 756-5353

1150 Graham Rd
Suite 101And102
Florissant, MO 63031-8077
Phone (314) 206-3900

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6339

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Parkland Health Center Hospital, Farmington, MO, CCN 260163
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BJC Behavioral Health CurrentSince Oct 18, 2021 Accepting new patients
Compass Health, Inc CurrentSince Jan 12, 2009 Accepting new patients
BJC Behavioral Health CurrentSince Oct 18, 2021 Accepting new patients
St Anthonys Physician Organization Hospitalist Services, L.C. CurrentSince Mar 29, 2021 Accepting new patients
Compass Health, Inc CurrentSince Jan 12, 2009 Accepting new patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC CurrentSince Mar 29, 2021 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Mar 29, 2021 Accepting new patients
Physician Groups LC PastSince Feb 11, 2024 Accepting new patients
Compass Health, Inc Past Accepting new patients
Compass Health, Inc. Past Accepting new patients

Locations

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

1085 Maple St
Farmington, MO 63640
Phone (573) 756-5353

227 Main St
Festus, MO 63028
Phone (636) 321-0101

1150 Graham Rd
Ste 101102
Florissant, MO 63031
Phone (314) 337-3647

1817 Gravois Rd
High Ridge, MO 63049
Phone (636) 376-0079

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

3309 S Kingshighway Blvd
Saint Louis, MO 63139
Phone (314) 534-9350

Interoperability endpoints

  • 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 5

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1710065024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631391101",
            "telephone_number": "314-206-3700",
            "fax_number": "314-206-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GRAHAM RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318077",
            "telephone_number": "636-376-0079",
            "fax_number": "636-677-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHATGI",
        "first_name": "GAUTAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2008034457",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2008034457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.