Kavita Sanjay Patwardhan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2024022681 Issued in MO

Practice address

1 Barnes Jewish Hospital Plaza
St. Louis, MO 63110

Phone

(314) 368-6979

NPI assigned

Jun 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1932942661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE, MSC 8121-0022-07",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-368-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLAZA",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-368-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATWARDHAN",
        "first_name": "KAVITA",
        "middle_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2024022681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Murphy Patton, L.P.C.
• Michelle Patton, PLPC
• Samantha Taylor Patton
• Stephanie Patton
• Victoria Faith Patton
• Caroline Elizabeth Patz
• Carrie L. Pauk, OTR
• Paul H Wang M Div PH D & Associates P C
• Paul H. Boehme, D.D.S., P.C.
• Paul Lee DC PC

• Internal Medicine Physician in St. Louis, MO
• Providers in St. Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.