Individual provider Active NPI

Vinay Gopal Kamat, M.D.

  • Internal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1760522916
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2003023595 Issued in MO
Practice address
969 N Mason Rd Ste 160
Saint Louis, MO 63141-6387
Phone
(314) 758-6053
NPI assigned
Feb 7, 2007
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2003023595 MO Primary

Addresses

Primary practice location

969 N Mason Rd Ste 160
Saint Louis, MO 63141-6387

Mailing address

1040 N Mason Rd Ste 102
Saint Louis, MO 63141-6361
Phone (314) 758-6053

Other practice location 1

1040 N Mason Rd Ste 102
Saint Louis, MO 63141-6361
Phone (314) 758-6053

Other identifiers 4

IdentifierTypeStateIssuer
036098468OtherILIL MEDICAID PROVIDER NO
143240OtherMOBCBS-MO PROVIDER NO
501235006MedicaidMO
388866OtherMOHEALTHLINK PROVIDER NO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
I20040308001115 MO Practitioner - Internal Medicine 5597653931 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Drexel University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians

Practice addresses (Care Compare)

1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195

2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454

3005 N Ballas Rd
Suite 400
Saint Louis, MO 63131-2317
Phone (314) 996-7520

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5772

969 N Mason Rd
Suite 160
Saint Louis, MO 63141-6387
Phone (314) 758-6053

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goal Oriented Healthcare, Inc Internal Medicine CurrentSince Dec 1, 2003 Accepting new patients
Physician Groups LC Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
Physician Groups LC CurrentSince Jul 1, 2011 Accepting new patients

Locations

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

1040 N Mason Rd
Ste 102
Saint Louis, MO 63141
Phone (314) 758-6053

11155 Dunn Rd
Ste 202E
Saint Louis, MO 63136
Phone (314) 653-8600

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250

969 N Mason Rd
Ste 160
Saint Louis, MO 63141
Phone (314) 434-8828

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1760522916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416361",
            "telephone_number": "314-758-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 N MASON RD STE 160",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416387",
            "telephone_number": "314-758-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 N Mason Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416361",
            "country_code": "US",
            "telephone_number": "314-758-6053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMAT",
        "first_name": "VINAY",
        "middle_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2003023595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL MEDICAID PROVIDER NO",
            "identifier": "036098468",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-MO PROVIDER NO",
            "identifier": "143240",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501235006",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER NO",
            "identifier": "388866",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1040 N Mason Rd Ste 102",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416361",
            "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.