Individual provider Active NPI

Amalakumar D Augustine, MD

  • Internal Medicine Physician
  • Saint Charles, MO
National Provider Identifier
1871579896
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
110935 Issued in MO
Practice address
22 Marr LN
Saint Charles, MO 63303-9000
Phone
(636) 926-1316
Fax
(636) 926-1322
NPI assigned
Dec 21, 2005
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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 110935 MO Primary

Addresses

Primary practice location

22 Marr LN
Saint Charles, MO 63303-9000

Mailing address

22 Marr LN
Saint Charles, MO 63303-9000
Phone (636) 926-1316

Other identifiers 1

IdentifierTypeStateIssuer
P00300665OtherRAILROAD MEDICARE

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
I20040130000122 MO Practitioner - Internal Medicine 7214830843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of MissouriGroup PAC ID 1456254226, shared by 12 NPIs, 48 clinicians

Practice addresses (Care Compare)

1010 W Columbia St
Farmington, MO 63640-2902
Phone (573) 218-6792

22 Marr LN
Saint Charles, MO 63303-9000
Phone (636) 498-3130

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
State of Missouri CurrentSince Nov 14, 2017 Accepting new patients
State of Missouri CurrentSince Nov 14, 2017 Accepting new patients
State of Missouri CurrentSince Dec 3, 2018 Accepting new patients
State of Missouri Past Accepting new patients

Locations

1010 W Columbia St
Farmington, MO 63640
Phone (573) 218-6792

22 Marr Ln
Saint Charles, MO 63303
Phone (314) 340-6702

Organizations & group practices 4

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 3

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1871579896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MARR LN",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633039000",
            "telephone_number": "636-926-1316",
            "fax_number": "636-926-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MARR LN",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633039000",
            "telephone_number": "636-926-1316",
            "fax_number": "636-926-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "AMALAKUMAR",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "110935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00300665",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.