KAVIPRIYA KOMESWARAN
NPI 1003267634
Pediatrics - Pediatric Critical Care Medicine in Saint Louis, MO

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 617-2000 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, Aug 26, 2022, Jun 24, 2016 (3 updates tracked since 2016).

About Kavipriya Komeswaran NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAVIPRIYA KOMESWARAN (NPI 1003267634) is an individual pediatric critical care medicine provider in Saint Louis, Missouri, licensed in Missouri (2026027959) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003267634
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameKAVIPRIYA KOMESWARAN
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-2005 · Fax (601) 815-0434
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 24, 2016
Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1003267634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses✔ Licensed in MO · 2026027959✔ Licensed in MS · 30089
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 125.069376 (IL)
1465 S GRAND BLVD, Saint Louis, MO 63104

Secondary Practice Location 1

Location 12500 N State StJackson, MS 39216-4500 · Phone (601) 815-2005 · Fax (601) 815-0434

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kavipriya Komeswaran is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840584025
PECOS Enrollment IDI20220705001354
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kavipriya Komeswaran reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
Family Medicine
965 AVENT DR, SUITE 100A
Grenada, MS 38901
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
ST.LOUIS, MO 63104
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kavipriya Komeswaran's NPI number?

The NPI number for Kavipriya Komeswaran is 1003267634. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Kavipriya Komeswaran located?

Kavipriya Komeswaran practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 617-2000.

What is Kavipriya Komeswaran's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kavipriya Komeswaran enrolled in Medicare?

Yes. Kavipriya Komeswaran is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kavipriya Komeswaran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kavipriya Komeswaran reassigns Medicare benefits to 2 organizations: Ssm Health Care Group (Saint Louis, MO) and State Of Mississippi-University Of Mississippi Medical Center (Grenada, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kavipriya Komeswaran's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kavipriya Komeswaran accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Kavipriya Komeswaran as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kavipriya Komeswaran was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.